Farm-to-Door Fruit Delivery Order Form

Farm-to-Door Fruit Delivery Order Form
Order fresh fruit delivered straight from our farm to your door. Please fill out the details below to place your order.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Delivery Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Select Your Fruits
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Seasonal Fruit Box
A curated mix of the freshest seasonal fruits from our farm.
$35.00QuantityBox Size

Organic Apples
Crisp, sweet, and organically grown apples.
$3.00Quantity

Fresh Strawberries
Juicy, hand-picked strawberries.
$5.00Quantity

Farm Citrus Mix
A mix of oranges, lemons, and limes.
$8.00Quantity

Total
$0.00
Preferred Delivery Date
MonthDayYear
Date
Delivery Instructions (optional)
Should be Empty: