The Farm @ SUNY ADK Product Request Form Retail

Product Request Form
Please note that product availability is subject to change. If a product you requested becomes unavailable, the Farm Manager will contact you as soon as possible. Contact donollit@sunyacc.edu with any questions. Thank you for supporting The Farm @ SUNY ADK!
Pick-up for all orders will be outside on the Farm Friday from 12:30 to 3:00.

If this time frame does not work for you please contact donollit@sunyacc.edu
Pick-Up Time:

MonthDayYear
Date
Hour MinutesAM/PM Option
I would like to pay
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please check the box next to each item you would like to order, and specify the quantity of each item
prevnext( X )
Cabbage
1.5-2#

$5.00 Quantity



Celery
1# bunch

$4.00 Quantity



Swiss Chard
bunch

$4.00 Quantity



Broccolini
1# bunch

$4.50 Quantity



Beets
$3.00 Quantity



Garlic Scapes
Bunch

$1.00 Quantity



Garlic Head

$2.00 Quantity



Fresh Onions
1 pound

$2.50 Quantity



Cucumbers
Each

$0.50 Quantity



Basil
Bunch

$2.00 Quantity



Total

$0.00
(optional) Please provide any additional information, comments or questions here:
Should be Empty:

Product Request Form