GOOD FOOD BOX ORDER FORM Today’s Date Group ID Number Delivery Date Group Name: __________________________________ Contact Name:__________________________________ Telephone #: (______) _______ - ________ ext ______ Delivery Instructions: Address: ___________________________ ___________________________ Buzz #: ________ ______________________________________________________________________________________________________ Customer Name Phone Large GFB $18 Small GFB $13 Wellness $13 Large Org $34 Small Org $24 Fruit $13 Comments 1 2 3 4 5 6 7 8 9 10 11 12 BOXES SUBTOTAL FREE BOXES BOXES TOTAL TOTAL PAYABLE $$$ total boxes: total $: FoodShare Toronto 120 Industry St. Unit C Toronto, ON M6M 4L8 Tel (416) 363-6441 ext. 275 Fax (647) 799-0305 Email: [email protected] Working with communities to ensure that everyone has access to sustainably produced, good, healthy food! www.foodshare.net
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