St Albans Fruit & Vege Co-Op Subscription Order Form

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St Albans Fruit & Vege Co-Op Subscription Order Form

Set Up a Weekly or Fortnightly Order - Payment is by bank transfer with details at the end of form.
Pick Up Location - Community House 136 Springfield Rd, St Albans
Pick Up Day: Every Wednesday 10am - Late

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* Indicates required question

Email *

Your email

Name *

Your answer

How Many $15.00 Packs Would You LIke *

1

2

Other:

Weekly or Fortnightly *

Weekly

Fortnightly

Start Of Order Date - Wednesday Collection Day *

MM

/

DD

/

YYYY

Comments

Your answer

Payment Details

Kiwibank 38-9018-0645983-04
Ref: Your Surname

Payment is due Mondays prior to the Wednesday.

A copy of your responses will be emailed to the address you provided.

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