Sign up for Toby’s Tish Organic Boxed Produce Winter 2013

If you have trouble viewing or submitting this form, you can fill it out online:
https://docs.google.com/spreadsheet/viewform?fromEmail=true&formkey=dEZuZ2YwNWFUUV9GMGl4dW5ldzlZbnc6MQ

Sign up for Toby’s Tish Organic Boxed Produce Winter 2013

Sign up before the end of the year and save $5. If you have any questions, you are welcome to e-mail me or call me at 216-401-9129.

Name *

Address *

Phone Number *

E-mail *

How many weeks would you like produce? *

  • 1 week -$35
  • 2 weeks -$65
  • 3 weeks -$90
  • 4 weeks -$115
  • 5 weeks -$145
  • 6 weeks -$170
  • 7 weeks -$195
  • 8 weeks $225
  • 9 weeks -$250
  • 10 weeks – $275
  • 11 weeks – $295
  • 12 weeks – $305

Please indicate the weeks that you would like produce: *

  • January 7th
  • January 14th
  • January 21st
  • January 28th
  • February 4th
  • February 11th
  • February 18th
  • February 25th
  • March 4th
  • March 11th
  • March 18th
  • March 24th
  • All 12 weeks

Would you like delivery ($5/week extra?) *

  • yes
  • no

If yes for delivery, please indicate where I can leave your box so it will not freeze.

What produce items do you not want in your box ever?

Do you have any suggestions for improvement?

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