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Trade Afghan Farm Basket Order Form
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Name
*
First
Last
Email
*
Contact Number
*
Delivery Location
*
Pickup Person Name
*
Pickup Person Local Contact Number
*
Farm Basket
None - $0.00
1 Small Basket - $20.00
2 Small Baskets - $40.00
3 Small Baskets - $60.00
1 Large Basket - $40.00
2 Large Baskets - $80.00
3 Large Baskets - $120.00
Basket Exchange
I have a basket to exchange (current customer) - $0.00
I need a basket (new customer, deposit required) - $5.00
Included in your Farm Basket this week (please list any special requests/exclusions):
Beetroot, Mache, Summer Savory, Cherry Tomato, Tomato, Sweet Pepper, Eggplant, Celery, Broccoli Rab, Chili Pepper, Coriander, Bok Choy, Dill, Basil, Kale, Swiss Chard, Rainbow Swiss Chard, Green Onion, Chives, Oregano, Radicchio, Lettuces, Arugula, Zucchini, Mint, Lemon balm.
Farm Fresh Strawberries
None - $0.00
0.5 kg - $10.00
1 kg - $20.00
1.5 kg - $30.00
2 kg - $40.00
Fresh Summer Applies
None - $0.00
2kg - $5.00
4kg - $10.00
6 kg - $15.00
Fresh Full Cream Milk
None - $0.00
1 Bottle - $2.00
2 Bottles - $4.00
3 Bottles - $6.00
Butter
None - $0.00
0.5 kg - $10.00
1 kg - $20.00
1.5 kg - $30.00
2 kg - $40.00
Fresh Homemade Basil Pesto - 8 oz Jar
None - $0.00
1 Jar - $10.00
2 Jars - $20.00
3 Jars - $30.00
4 Jars - $40.00
Authentic Parmigiano Reggiano
None - $0.00
0.5 kg - $10.00
1 kg - $20.00
1.5 kg - $30.00
2 kg - $40.00
Dried Oyster Mushrooms
None - $0.00
250 g - $10.00
500 g - $20.00
750 g - $30.00
1 kg - $40.00
Dried Apple Chips
None - $0.00
100 g - $3.00
200 g - $6.00
300 g - $9.00
400 g - $12.00
Hill Top Bee Pollen
None - $0.00
125 g - $5.00
250 g - $10.00
375 g - $15.00
500 g - $20.00
All Natural Soft Serve Ice Cream - Traditional Cardamom
None - $0.00
1 Pint - $5.00
2 Pints - $10.00
3 Pints - $15.00
4 Pints - $20.00
Red Mill Quinoa
None - $0.00
13 oz - $5.00
26 oz - $10.00
39 oz - $15.00
52 oz - $20.00
Mixed Herb Pot, Italian (Basil, Oregano, Thyme)
None - $0.00
1 Medium Pot - $10.00
2 Medium Pots - $20.00
3 Medium Pots - $30.00
Mixed Herb Pot, Crispy (Fennel, Celery, Dill)
None - $0.00
1 Medium Pot - $10.00
2 Medium Pots - $20.00
3 Medium Pots - $30.00
Mixed Herb Pot, Calming (Chamomile, Lemon Balm, Mint)
None - $0.00
1 Medium Pot - $10.00
2 Medium Pots - $20.00
3 Medium Pots - $30.00
Pickup/Delivery
*
Delivery - $7.00
Delivery (multiple deliveries to same location) - $5.00
Pickup at PARSA - $0.00
Payment
*
Cash on Delivery
PayPal
Total
$0.00
Farm Basket
Regular Basket - $20.00
Large Basket - $40.00
Available to be added to your Farm Basket (additional cost):
0.5 kg Farm Fresh Strawberries - $10.00
2 kg Fresh Summer Apples - $5.00
Bottle Fresh Full Cream Milk - $2.00
0.5 kg Butter - $10.00
8 oz. Fresh Homemade Basil Pesto - $10.00
0.5 kg Authentic Parmigiano Reggiano - $10.00
250 g Dried Oyster Mushrooms - $10.00
100 g Dried Apple Chips - $3.00
125 g Hill Top Bee Pollen - $5.00
Pint All Natural Soft Serve Ice Cream
Traditional Cardamom - $5.00
Red Mill Quinoa
13 oz - $5.00
26 oz - $10.00
Mixed Herb Pots (Medium Pot)
Italian: Basil, Oregano, Thyme - $10.00
Crispy: Fennel, Celery and Dill - $10.00
Calming: Chamomile, Lemon Balm and Mint - $10.00
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