This Week's Organic Harvest - October 21 delivery

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Organic Harvest Order Form October 19 to 21 2011
Name *	First Last
Have you read our order guidelines and procedure before placing your order? *	Yes, I have read and understood your order guidelines and procedure. I am ready to place my order.
Are you a regular customer? *	I am a first-time customer   I order every week   I order every other week   I order once a month
What is your delivery address? *	Street Address Address Line 2 City State / Province / Region Postal / Zip Code Antigua and Barbuda Aruba Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Country
Cross Street *	What is the nearest cross street to your delivery address?
Driving Directions or Distinguishing Landmark/s *	Kindly fill this out in detail so that we may serve you efficiently. You may indicate directions from the main road, gate color, house description, neighboring establishments or noticeable landmarks in the area.
Cellphone Number *	We will be reaching you via sms regarding delivery status and other pertinent information on your order.
Email Address *	We will be emailing you your bill statement at this address.
Lastly, how did you hear of The Green Grocer? *	Please indicate referrer's name, event, social networking site, ad placement or other media that led you to us.
This week's organic harvest October 19 to 21 2011  Items listed on this form are this week's harvestable produce. As these are mere projections, availability may change without prior notice. Please indicate your order quantity by kilo weight on the space provided for each item. You may also indicate number of units or pieces if you are unfamiliar, and we will price accordingly.
Beans - Green/Baguio  ₱145 /kg	Tip: One serving of beans is about .25kg
Carrots  ₱225 /kg	Tip: Four carrots weigh about .5kg
Cauliflower  ₱230 /kg	Tip: One medium-sized cauliflower weighs about .5kg
Celery  ₱230 /kg	Tip: a small bunch of celery weighs about .25kg
Cucumber  ₱115 /kg	Tip: a small sized cucumber weighs about .25kg
Fennel  ₱250 /kg	Tip: A stalk of fennel weighs about .4kg
Lettuce - Butterhead  ₱270 /kg	Tip: a small bunch of lettuce weighs about .25kg
Lettuce - Iceberg  ₱210 /kg	Tip: a head of iceberg weighs about .5kg
Lettuce - Nevada  ₱270 /kg	Tip: a small bunch of lettuce weighs about .25kg
Lettuce - Red Wave  ₱270 /kg	Tip: a small bunch of lettuce weighs about .25kg
Okra  ₱110 /kg	Tip: One serving of okra is around .25kg
Onion - Spring  ₱295 /kg	Tip: One serving weighs around .2kg
Herbs
Chives  ₱300 /kg	Tip: You may order as little as .05kg (50 grams)
Lemongrass  ₱300 /kg	Tip: You may order as little as .2kg (200 grams)
Mint  ₱300 /kg	Tip: You may order as little as .05kg (50 grams)
Oregano  ₱400 /kg	Tip: You may order as little as .05kg (50 grams)
Fruits
Papaya  ₱85 /kg	Tip: Our papaya weighs at least 1.25kg
Pineapple  ₱72 /kg	Tip: Our pineapple weighs at least 1.5kg
Other MPF Products
Organic Pineapple  Papaya Jam  ₱165 /kg	Tip: Purchase our Jam & Bread package  (1 loaf rye & 1 bottle jam) for ₱259
Freshly Roasted  Arabica Coffee  ₱499 /500 gram pack	Tip: Indicate number of packs you would like to order, and identify if you prefer whole beans or ground
Boxed Packages
Not sure exactly what to order? Let us prepare a box for you.	Please prepare a COUPLE'S BOX for me based on this week's available organic vegetables, worth ₱800.   Please prepare a HALF BOX for me based on this week's available organic fruits & vegetables, worth ₱1,000.   Please prepare a FULL BOX for me based on this week's available organic fruits & vegetables, worth ₱1,600.
Additional Orders  You may use this area for orders from The Green Grocer's main menu. Please take note of the order cut-off for these product categories.
Regular Produce Order before Wednesday at 3PM, for Friday delivery.
Artisan Bread Order before Tuesday at 3PM, for Friday delivery.
Specialty Dishes Order before Tuesday at 3PM, for Friday delivery.
Fish, Meat & Poultry Order your Free-range Chicken, Organic Eggs and Organic Fish Dory before Tuesday at 3PM, for Friday delivery.
Others New products such as manchego and olives need to be ordered by Friday, for delivery the following week.
Delivery & Payment
Preferred Delivery Date *	Organic orders are delivered on Friday. 1 2 3 4 5 6 7 8 9 10 11 12 MM / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 YYYY
Payment Option *	We currently do not accept check payments.  COD   Metrobank Bank Deposit must settle bill two days before delivery   Paypal must settle bill one day before delivery
Confirmation Please review your order one last time before submitting your order. After clicking our button, our system will receive it and we will contact you shortly for your statement and availability of your items.

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