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Gift Basket Order Form
Use for basket orders only for local delivery or pickup at Farm Store
| Fax to: 609-924-8569 |
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| Name: _________________________ |
Phone:
_______________________ |
| *CC #: __________________________ |
Expiration: _________ CVV_______ |
| Street Address#:______________________ (Req'd) |
Zip Code: _______________ (Req'd) |
| * we accept MasterCard, Visa, Discover - Delivery fee $10 for Lawrenceville and Princeton area.
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Basket Choices
|
Store Pick Up Date |
Delivery Date |
$25 Farm Basket |
_________ |
________ |
| $35 Farm Basket |
_________ |
_________ |
| $45 Farm Basket |
_________ |
_________ |
| $75 Farm Basket |
_________ |
_________ |
| $100 Farm Basket |
_________ |
_________ |
| Taste of New Jersey $30 |
_________ |
_________ |
| Taste of New Jersey $35 |
_________ |
_________ |
| Taste of New Jersey $50 |
_________ |
_________ |
| Taste of New Jersey $65 |
_________ |
_________ |
| Custom Basket $ ____ value-$200/max |
_________ |
_________ |
| Subtotal |
_____________ |
| Delivery fee |
$10 |
| Total |
_____________ |
| Special Requests:____________________________ |
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| Deliver to: |
Gift Basket Message: |
| _______________________________ |
_______________________________ |
| _______________________________ |
_______________________________ |
| _______________________________ |
_______________________________ |
| Phone#:_________________________ |
_______________________________ |
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