Produce Order Form

Name

First Name

Last Name

Phone

(###)

###

####

Email

Apples ($12.00/bag)

Asparagus ($5/bunch)

Bread - White ($6.00)

Bread - Wheat ($6.00)

Broccoli ($4.00/each)

Brussel Sprouts ($4.00/lb)

Carrots ($1.50/each)

Celery ($2.00/bunch)

Cherries ($3.75/lb)

Cinnamon Rolls ($10/each)

Cucumbers ($1.50/each)

Garlic - Freshly Picked ($3.00)

Cabbage - Green ($3.00/head)

Cabbage - Red ($3.00/head)

Green Peppers ($1.00/each)

Green & Yellow Zucchinis ($1.50/each)

Hot Peppers ($1.75/each)

Mandarins ($5.00/bag)

Mushrooms ($2/each)

Peaches ($6/quart)

Pickles ($5.00/quart)

Pickles ($5.99/jar)

Pineapple ($3/each)

Red Onions ($1.50/each)

Semi Hot Peppers ($1.75/each)

Strawberries ($4.50)

Sweet Banana Peppers ($.75/each)

Sweet Onions ($1.50/each)

Sweet Peppers ($6 for 3)

Tomatoes ($6/quart)

Tomatoes - Large ($2.50/each)

Yellow Squash ($1.50/each)

Order Note