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The Goodness Market Order Form
STRENGTHENING COMMUNITIES TOGETHER
ORDERS TAKE UP TO 48 HOURS TO PROCESS
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* Indicates required question
Email
*
Your email
Date Of Order
*
MM
/
DD
/
YYYY
Community Organisation Referal
*
Yes
No
Required
Name of Community Organisation
Your answer
Name
*
Your answer
Contact Number
*
Your answer
The Goodness Market Products
*
Community Produce Pack $15.00
Kai Produce Pack $25.00
Whanau Produce Pack $40.00
Required
Pick Up -
Payment On Collection
*
Pick Up - The Goodness Market 136 Springfield Rd, St Albans
Required
Pick Up Date
Pick Up Days Wednesdays 10am - 4pm
*
MM
/
DD
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YYYY
Comments
Your answer
Bank Payment Info
Kiwibank 38-
9018-0645983-05 Ref: TGM
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