Good Food Box ORDER FORM

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