HTML Preview Sample Delivery Order Form page number 1.


Home Delivery Order Form
Name: __________________________________________________
Street: __________________________________________________
City/Town: __________________________________________________
Postal Code: ______
Phone: (___)-___-____
Email: __________________________________________________
Date: __________________________________________________
Please select number of packages:
___ Beef package ($225 includes delivery)
___ Ground beef package ($185 includes delivery)
___ Steak package ($220 includes delivery)
___ Pork package ($210 includes delivery)
___ Bone broth package - 16x500ml ($130 includes delivery)
Notes: __________________________________________________________
__________________________________________________________
__________________________________________________________
Before we deliver your beef or pork, please pay by Interac transfer or call with a Visa or MasterCard.
Please note the following terms and conditions of our delivery service:
- We deliver between 9am and 6pm Monday to Friday.
- We provide insulated boxes with dry ice (do not touch) to maintain product safety and quality.
- Once delivered it is your responsibility to freeze immediately.
- If no one is available to accept the order, it will be left at door or returned to us.
- Additional delivery charges to rural areas or downtown Toronto may apply.
How to use this order form: save this empty form to your computer. Open it, enter your information, then
save it again. Email the completed form to: [email protected] or fax to 705-742-0118
Office use:
Courier ___ (Over night ___ Same day ___) Farm Store ___ Local Delivery ___ Invoiced ___ Paid ___
Date of delivery to courier _________________________
Date to be delivered to client _________________________
Heritage Cattle Company
Keene, Ontario
Phone: (705) 768-9326
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