JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
25 Kg Bulk Box Form - Tons Valley Shop
Please fill below how many packets you need of each type to build a '25 Kg Bulk Box'. Ensure that the total is always 25kg or multiples of 25kg. Forms with incorrect total will have to be refilled.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Mobile number (don't add 0 or +91)
*
Your answer
Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Pincode
*
Your answer
Organic Rajma - Long Red Capsule - 500 gm
*
Your answer
Organic Rajma - Long Red Capsule - 1 kg
*
Your answer
Organic Rajma - Long Red Chitra - 500 gm
*
Your answer
Organic Rajma - Long Red Chitra - 1 kg
*
Your answer
Organic Rajma - Long White Harshil - 500 gm
*
Your answer
Organic Rajma - Long White Harshil - 1 kg
*
Your answer
Organic Rajma - Small Red Capsule - 500 gm
*
Your answer
Organic Rajma - Small Red Capsule - 1 kg
*
Your answer
Organic Rajma - Mixed - 500 gm
*
Your answer
Organic Rajma - Mixed - 1 kg
*
Your answer
Organic Kulath/Horsegram - 500 gm
*
Your answer
Organic Kulath/Horsegram - 1 kg
*
Your answer
Organic Toor/Arhar Dal (unsplit pigeon pea with shell) - 500 gm
*
Your answer
Organic Toor/Arhar Dal (unsplit pigeon pea with shell) - 1 kg
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Tons Valley Shop.
Report Abuse
Forms
