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Please complete the information requested below to reserve your delivery date.

Organization name:

Mailing Address:

Mailing Address:

City:

State:

Zip:
Phone:

Fax:


School Name:

Mailing Address:

Mailing Address:

City

State

Zip:

Phone:

Fax:


Name of person in charge:

Mailing Address:

Mailing Address:

City:

State:

Zip:

Day Phone:

Eve. Phone:

Fax:

e-mail:

UPS Address:

UPS Address:

UPS Address:

City:

State:

Zip:


If Band or Chorus group, name of director:
Day Phone: Eve. Phone:
e-mail:

Approximate number of salespeople:
Date your sale will begin: Date your sale will end:
Desired Delivery Date: Date we can expect your order:
Please select the type of sales order forms you desire: NOTE: We must receive your order at least 2 weeks prior to your desired delivery date!
4 color "Fund Raiser" type brochures
3 part NCR forms

Please select the varieties of fruit you intend to sell:
4/5 bu. Red Grapefruit 2/5 bu. Red Grapefruit
4/5 bu. Navel Oranges 2/5 bu. Navel Oranges
4/5 bu. Orlando Tangelos 2/5 bu. Orlando Tangelos
4/5 bu. Juice Oranges 2/5 bu. Juice Oranges
2/5 bu. Mixed Box 2/5 bu. Gift Box
2/5 bu. Red Trio Pack 2/5 bu. Pear Trio Pack
1 bu. Red Delicious Apples 1/2 bu. Red Delicious Apples
1/2 bu. Holiday Pack 1/2 bu. D'Anjou Pears
5 lb. Navel Bags 5 lb. Grapefruit Bags.
1/2 Pound Fudge (new) 1 Pound Fudge (new)
Coffee Cakes

Comments or special instructions (Please include anything that you feel we should be made aware of.)

Please note that you can print this form out for your records before you click the submit button. You can also print out the page that follows to have a copy of what we receive from you.