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Your Organization's Name:

School Name (if applicable):

Your Name:

Day Phone Number:

Evening Phone Number:

Fax Number:

e-mail address:

Requested Delivery Date:

Requested Delivery Time:
This order is: This order: Numbers listed below are:
Our Original Order Does not require wooden pallets New Totals
A Change Order Must ship on wooden pallets Just changes to our order
With respect to sales tax: Regarding transportation: Numbers listed below are:
Do not charge us tax Let Riversweet supply the truck Our Final Numbers
Charge us sales tax We will provide our own truck Tentative Numbers

 

Large Box Small Box

 

(4/5Bu.) (2/5Bu.)

 

PLEASE REMEMBER!
Red Grapefruit 1 2 Use the TAB key to move from field
Navel Oranges 3 4 to field.  If you accidentally hit the ENTER

Orlando Tangelos

 5 6 key and submit the form, merely hit the
Juice Oranges 7 8 BACK button on your browser to save
Mixed Box 9 your data-then resubmit the form.
Trio Pack (RED-NAV-APPLE) 10
Trio Pack (PEAR-NAV-APPLE) 11 Again, let us thank you for having chosen
 Apples 12 13

 

Riversweet Citrus.
Gift Box 14
Holiday Pack (PEARS-APPLES) 15
1/2bu. Pears 16
Additional Citrus Items
5 lb Navel Bagmaster Each 5lb.Bagmaster contains 8 bags!
5 lb Grft. Bagmaster
8 lb Navel Bagmaster Each 8lb. Bagmaster contains 5 bags!
8 lb Grft. Bagmaster

4/5 bu. White Grapefruit

2/5 bu. White Grapefruit
HOMESTYLE FUDGE
1 Pound Tins
Chocolate Walnut 1
Vanilla Walnut 2
Chocolate 3
Peanut Butter 4
Maple Walnut 5
Chocolate Mint 6

1/2 pound Tubs

Chocolate Walnut 7

Chocolate

 8
Peanut Butter 9

Maple Walnut

 10

Date you want fudge to arrive via UPS
Delivery Location For Fruit:
:
Delivery Address:
Address1

Address2

Address3:

City:

State:

Postal Code:

Phone:

Local Contact

UPS Address for Fudge
Address1
Address2
Address3
City
State
Postal Code
Phone
Local Contact
Empty Mesh Bags
: Size Quantity
5lb.
8lb.
1/4 bu.
1/2 bu.
1 bu.
 

 
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