Order Form HAVE QUESTIONS?call 908.391.9910 or email maria@theverdeharvest.com Town * Please select your town from our list of delivery areas. If you do not see your town and live close to one listed please contact us to request an expansion of our delivery area. Bloomfield Berkeley Heights Chatham Cranford Livingston Mendham Madison Maplewood Millburn Montclair Montville Morristown New Providence Short Hills South Orange Summit Warren Westfield West Orange order frequency * Delivery schedule is Tuesday, Thursday or Friday depending on where you live and free with a $25 minimum order. ($7 delivery fee will be applied if minimum is not met) weekly bi-weekly One time only arugula 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 broccoli 2 oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 cabbage 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 kale 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 pea shoots 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 sunflower shoots 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 radish 2oz please select one 1 - $8.00 2 - $15.00 3 - $23.00 farmers choice please select one 1 - $8.00 2 - $15.00 3 - $23.00 smoothie mix (kale, sunflower, broccoli) please select one 1 - $22.00 2 - $44.00 spicy mix 6oz (arugula, radish, kohlrabi) please select one 1 - $22.00 2 - $44.00 verde mix 6oz (broccoli, pea, sunflower) please select one 1 -$22.00 2 -$44.00 Special Instructions email * phone * (###) ### #### address * Address 1 Address 2 City State/Province Zip/Postal Code Country name on card * First Name Last Name credit card number * security code * expiration date * MM DD YYYY Thank you! We will contact you within 5 days with a confirmation. Have a great day!
