Printable Order Form

Name:
 ___________________________________________________________
Address 1:
 ___________________________________________________________
Address 2:
 ___________________________________________________________
Telephone:
 ___________________________________________________________
E-mail:
 ___________________________________________________________
   
Full Share - $400
Half Share - $225
   
  Starting mid June 2008, week of June 15
 
Tue., 5-7 p.m. pickup (select one)
Sat., 10 - noon pickup
   
  If neither suitable, state your preference
  ___________________________________________________________
  ___________________________________________________________
   
Likes
 ___________________________________________________________
Dislikes
 ___________________________________________________________
 
Are you willing to share pickup with others
   
Yes
No
 
Extras
   
Turkey (approx. 15 lbs) + 1 Litre of Maple Syrup package – $55
1 dozen eggs - $3.00
Maple Syrup
Turkey - $2.90 lb
Chicken - $2.50 lb

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Heritage Hill Organics, 1933 Line 2 North, Dalston, ON Canada L0L 2L0. Tel: (705) 734-2846

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