Produce Tray Order Form

Name

Phone Number

Email

Co-op Member #

Payment Selection

Credit Card

Payment on delivery/pickup

Charge to account

Winkler Pickup

Morden Pickup

Delivery ($5.00 per location)

Date of Delivery/Pickup

Tray Options

Tray Size

If this order is to be delivered, please fill out the following information.

Recipients Name

Recipients Phone Number

Recipients Address

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