Produce Order Form
Please select all the products you would like to purchase. If you select home delivery, we will deliver the products within 48 hours.
Products
Categories:
All
All
Fruits
Vegetables
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Fruits
Banana
per lb
$
7.00
lb
0
1
2
3
4
5
Strawberries
per lb
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Grapes
With green and red options. per lb
$
8.00
Type
Quantity
Green
1
2
3
4
5
6
7
8
9
10
Red
1
2
3
4
5
6
7
8
9
10
Vegetables
Mushroom
per lb
$
7.00
lb
0
1
2
3
4
5
Carrot
per lb
$
5.00
lb
0
1
2
3
4
5
Iceberg Lettuce
each
$
5.00
Quantity
0
1
2
3
4
5
Red Jalapeno
per lb
$
5.00
lb
0
1
2
3
4
5
Potatoes
per lb
$
6.00
lb
0
1
2
3
4
5
Tomatoes
per lb
$
6.00
lb
0
1
2
3
4
5
Tip
Tip
Thank You!
$
1.00
Amount
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please Select the Delivery Type
Pick Up
Home Delivery
Pick Up Location
810 Modoc AlleyPocatello, ID 83204
4100 Fantages WayPembroke, ME 04666
Approximate Pick Up Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order
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