GOOD FOOD BOX DEPOT ORDER FORM

GOOD FOOD BOX DEPOT
ORDER FORM
Depot Guidelines:
1. Produce is purchased in bulk, but only enough for total boxes ordered. We strive for the best,
freshest produce. Please inform us of any spoiled produce and we will replace it for you.
2. Complete all blanks. An order form must be completed with every order.
3. Cash must be paid at the time of your order and a receipt will be issued to you.
4. Bring your receipt with you as proof of purchase to pick up your Good Food Box. Please be
patient with us as delivery days and times may vary due to volume and demand. Please pick up
your order on the date given, if it should change we shall do our best to contact you.

MUST initial here to verify you have read, understand and will follow Depot Guidelines.
PRINT CLEARLY
Date Submitted
Date of Pick Up
Name
Phone #
Cell #
Email
Submit orders on this form only – no orders will be accepted after 4:00pm Fridays.
Order form MUST accompany cash payment.
Box Weight
20+ pounds/box
30+ pounds/box
40+ pounds/box
# of Children
Box Cost
Box Size
$20/box
small
$25/box
medium
$30/box
large
Grand total for ALL box sizes
# of Adults
Quantity
Total cost
# of Seniors