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Registration Form for Buyers
1.) Organization:
*
2.) Contact Person:
*
First
Last
3.) Phone:
*
Area Code
-
Phone Number
4.) E-mail:
*
5.) Mailing Address:
*
Street Address
City
State / Province / Region
Postal / Zip Code
6.) Physical Address (if different from mailing):
Street Address
City
State / Province / Region
Postal / Zip Code
7.) If a school, what is the number of meals served a day?
8.) Delivery Preferences (Days and Times - i.e. Tuesdays from 10am to 12pm):
*
9.) Use Bid Process?:
Yes
No
10.) Certification Preferences (i.e. Food Handler's, Grower's Certificate):
*
11.) Top Crops Purchased for Summer/Fall (What + # of Pounds):
12.) Top Crops Purchased for Winter (What + # of Pounds):
13.) Top Crops Purchased for Spring (What + # of Pounds):
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