Florida Farm Bureau Fundraising

Complete and submit OR print and fax to 352-728-5838

Account Number :

Organization :

Mailing Address :

City :

State :

Zip Code :

Day Phone :

Eve. Phone :

Fax :

Cell Phone :

E-Mail Address :

Fresh Fruit

Minimum order 100 4/5 cartons equivalent - Add $1.00 per 4/5 equivalent for orders totaling less than 200 4/5 cartons or their equivalent.

Navel Oranges 4/5 (Lg) Bushel :

Navel Oranges 2/5 (Sm) Bushel :

Red Grapefruit 4/5 (Lg) Bushel :

Red Grapefruit 2/5 (Sm) Bushel :

Tangelos 4/5 (Lg) Bushel :

Tangelos 2/5 (Sm) Bushel :

Tangerines (Sunburst) 2/5 (Sm) Bushel :

Juice Oranges (Hamlin) 4/5 (Lg) Bushel :

Juice Oranges (Hamlin) 2/5 (Sm) Bushel :

Holiday Gift Pack :

Premium Variety Pack :

Mixed Citrus Box :

Citrus Trio :

Red Delicious Apples full bushel :

Pears (DI ANJOU - Green Color) 4/5 (Lg) Bushel :

Half Bushel Mesh Bags (100/bundle) :

Quarter Bushel Mesh Bags (100/bundle) :

(Shipped only with citrus orders)

Orange Blossom Dirt Squad :

12/1 Quart (32 oz) squeeze bottles per case
$ 36.00

4/1 Gallon (128 oz) jugs per case
(4 pumps/case) $ 42.00

Delivery Address :

(If Different From Above)

City :

State :

Zip :

Preferred Delivery Date :

Secondary Delivery Date :

Person to Receive Shipment :

Method of Payment :

We will invoice established accounts.
If paying by credit card, we will contact you for information.

I (We) are authorized to conduct a fundraising program on behalf of the above listed organization.

The organization Accepts full responsibility of payment for all products and material ordered and received from Florida Farm Bureau.

Electronic Signature
Print full name of authorizing individual


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	Florida Farm Bureau Marketing Division 7705 US Highway 441, Leesburg, Florida 34788 Phone: 352•728•1561 ~ Fax: 352•728•5838 Toll Free: 800•654•0941

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