Order
Welcome to our ordering system!  Please enter the
following information so that we can serve you.
This is a new order.
This is a change to an existing order. (If you are an
existing customer, only fields with an * are required.)
Name (first and last):     *

Delivery address:         
(
include zipcode)

E-mail address:            *

Contact Phone #:
        
What size box would you like to order?
How would you like to pay?
LOCALifornia Box............................................$32.00

Large Variety Box............................................$31.00

Small Variety Box.............................................$24.00

Assorted Fruit Box...........................................$24.00

Assorted Vegetable Box..................................$24.00

Juicing Box......................................................$24.00
COD (Cash or check at time of delivery)

Pre-pay monthly (Please issue payment the
last week of the prior month)

Automatic payment (Using your banks bill pay
service
)
Would you like to be added to our weekly
e-mail list of specialty and SALE items?
Yes, please e-mail me!

No thank you.
The following items can be purchased only in
addition to a standard produce box:
Assorted Salad Vegetables (Grab Bag)...........$7.00

Assorted Cooking Vegetables (Grab Bag).......$7.00

Assorted Fruit (Grab Bag) ...............................$7.00
Comments or Additional Instructions:
Please use the space below to list any
changes or additional items you would
like to receive with your order. We will
contact you via phone or e-mail to
confirm your order within one business
day.  Refer to our menu page for specific
items in each standard box.
*There is a $1.00 fuel surcharge per delivery.
*Some areas have an additional delivery charge.
How often?
Weekly

Every other week

One time
In the box below, please let us know who
referred you.   By doing this, we can reward
them with a $5.00 account credit.
Thank you for choosing Country Organics!  We're here to serve you!
WWW.COUNTRYORGANICS.NET
2745 Bechelli Lane, Redding, CA 96002
530.223.5775