XYZ Order form

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This form is a demo and may not be submitted by anyone other than the creator of the form.

Captcha ^✻ What is 1 + 4?

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Delmark

Salad

	100g	500g	6x500g	3kg	Bulk
Spinach	Spinach - 100g	Spinach - 500g	Spinach - 6x500g	Spinach - 3kg	Spinach - Bulk
Wild Rocket	Wild Rocket - 100g	Wild Rocket - 500g	Wild Rocket - 6x500g	Wild Rocket - 3kg	Wild Rocket - Bulk
Mesclun	Mesclun - 100g	Mesclun - 500g	Mesclun - 6x500g	Mesclun - 3kg	Mesclun - Bulk

Vegetables

	200/250g	500g	1kg	10kg	Bulk
Orange Carrots	Orange Carrots - 200/250g	Orange Carrots - 500g	Orange Carrots - 1kg	Orange Carrots - 10kg	Orange Carrots - Bulk
Purple Carrots	Purple Carrots - 200/250g	Purple Carrots - 500g	Purple Carrots - 1kg	Purple Carrots - 10kg	Purple Carrots - Bulk
White Carrots	White Carrots - 200/250g	White Carrots - 500g	White Carrots - 1kg	White Carrots - 10kg	White Carrots - Bulk
Yellow Carrots	Yellow Carrots - 200/250g	Yellow Carrots - 500g	Yellow Carrots - 1kg	Yellow Carrots - 10kg	Yellow Carrots - Bulk

Delivery -

Tomorrow (orders placed on Mon-Thur)

Saturday (orders placed on Friday)

Monday (orders placed on Friday)

Any Notes?