GTG: Special Order Form

Special Order Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Preferred contact method:*

Phone CallEmailText
Owner #
You don't have to be an owner to special order! But owners get 10% off of most special orders!
Item Information

This form allows you to enter one special order. If you wish to special order multiple products, you'll be able to easily order another when you are finished with this one.

This make it easier for our staff to track your order(s).
Product*
Brand*
Size*
Quantity*

Owners receive a 10% discount on most orders. Discounts do not stack with advertised sale prices nor apply to Co+op Basics items.

Due to frequent price fluctuations, GTG cannot guarantee pricing. Please email info@greentopgrocery.com with any questions.

Signature*
By entering your name above, you acknowledge and agree that this electronic entry serves as your legal signature and carries the same validity as a handwritten signature
Today's Date*

MonthDayYear
Date
Should be Empty:

Special Order Form