Clone of Donation Order Form

Your Name

First Name must match name we have on file Last Name

Phone Number

Please enter a valid phone number we text to confirm.Format: (000) 000-0000.

Your E-mail

example@example.com

Shipping Address

Street Address must match the address we have on file for member registration.

Street Address Line 2

CityState / Province

Postal / Zip Code

Please note the dollar amount is the lowest suggested DONATION, we do offer a sliding scale suggestion and offer codes for lower suggested donations for those in need.

Macro Squares Organic and low Sugar

$25-$35 Sliding scale suggested donation. Cacao-Maple Sugar-Lions Mane-Niacin-Cinnamon-Peppermint-All Organic-2grams each bar.

$25.00 Quantity

Chocolate Bars-Strong

$35-$45 Sliding scale suggested donation. ATTN: will melt in 90 degree plus weather.

$35.00

3.5 Grams per Bar 350mg per Square-STRONG	Quantity
Dark Chocolate
Coffee
Raspberry White Chocolate
Toffee
Milk

Macro Vegan Chocolate Hearts

$35-$85 Sliding scale suggested donation 2 grams each.

$35.00 How Many HeartsQuantity

Vegan Gummies Temp Out of Stock

$45-$55 Sliding scale suggested donation 400mg each 12 gummies 4.4 grams per bag.

$45.00

	Quantity
Peach

Microdosing Capsules 50mg

$55-$65 Sliding scale suggested donation-Church Grown Mixed with Cordyceps and Lions Mane.

$55.00

Suggested Donation	Quantity	Price
GT (Mild) 20 count		$55.00
GT Mild) 45 count		$105.00
PE (Strong) 20 count		$55.00
PE (Strong) 45 count		$105.00

Microdosing Capsules 100mg

$55-$65 Sliding scale suggested donation-Church Grown Mixed with Cordyceps and Lions Mane

$55.00

100mg Microdosing Capsules	Quantity	Price
GT (Mild) 20 count		$55.00
PE (Strong) 20 count		$55.00
GT (Mild) 45 count		$105.00
PE (Strong) 45 count		$105.00

Microdosing Capsules 200mg

$65-$75 Sliding scale suggested donation-Church Grown

$65.00

200mg Microdosing Capsules	Quantity	Price
GT (Mild) 200mg 20 count		$65.00
PE (Strong) 200mg 20 count		$65.00
GHOST (Strong) 200mg 20 count		$65.00
GT (Mild) 200mg 45 count		$120.00
PE (Strong) 200mg 45 count		$120.00
GHOST (Strong) 200mg 45 count		$120.00

Microdosing Capsules 300mg

$75-$85 Sliding scale suggested donation-Church Grown

$75.00

300mg	Quantity	Price
GT (mild) 300mg 20 count		$75.00
PE (Strong) 300mg 20 count		$75.00
GT (Mild) 300mg 45 count		$145.00
PE (Strong) 300mg 45 count		$145.00

Ground Powder

$35-$45 Sliding scale suggested donation-Church Grown

$35.00

	Quantity	Price
GT 5 grams		$35.00
PE 5 grams		$35.00
GHOST 5 grams		$35.00
GT 14 grams		$75.00
PE 14 grams		$75.00
Ghost 14 grams		$75.00

Donate to our equity Program

$10.00 Quantity

$10 USPS Priority Shipping

$10.00

Total

$0.00

Please READ the entire form.

1) Request below.

2) Donate on the website

3) Tracking and Communication

Heading

Please note the dollar amount is the lowest suggested DONATION, we do offer a sliding scale suggestion and offer codes for lower suggested donations for those in need.

Please READ the entire form.

1) Request below.

2) Donate on the website

3) Tracking and Communication

Heading

Please note the dollar amount is the lowest suggested DONATION, we do offer a sliding scale suggestion and offer codes for lower suggested donations for those in need.*

Please note the dollar amount is the lowest suggested DONATION, we do offer a sliding scale suggestion and offer codes for lower suggested donations for those in need.