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Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
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Requested Date For Receiving Order (if it will be a market week, then please choose Saturday during spring/summer season)
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Month
-
Day
Year
Date
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Details (requested pickup date, location [if not a market week], and if you need more on your order, add here)
Payment Type
*
Send invoice, I’ll pay by card
Send invoice; I’ll pay in cash at pickup
Order Agreement
By signing below, you acknowledge you are placing this order and expect to pay for services rendered. No goods will be produced until payment is received or pay-at-pickup requested. Cash at pickup is an encouraged option and can be arranged via confirmation email. *If your cash-promised order is not picked up/paid for at agreed-upon date & time, it will be offered for sale with my remaining stock of market goods and you will be required to pre-pay for any future orders.*
Signature
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