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

If you have not received a confirmation from us within 24 hours of placing your order, please call 800-654-0941 to confirm your order.

		Purchase Order #:
		(If needed)
Organization :
Mailing Address :
City :
State :	Zip Code :
Cell Phone :		Day Phone :
Fax :		E-Mail Address :
Delivery Address :
(If Different From Above)
City :
State :		Zip :
Preferred Delivery Date :		Secondary Delivery Date :
Person to Receive Shipment :

FRESH FRUIT  Minimum order 100 of fruit - $150 Delivery charge is added on orders less than 200 cartons of fruit to defray shipping costs. 200 or more cartons of fruit - FREE DELIVERY
Mandarin Clementines 1/2 (Lg) Bushel :		Mandarin Clementines 1/5 (Sm) Bushel :
Navel Oranges 4/5 (Lg) Bushel :		Navel Oranges 2/5 (Sm) Bushel :
Red Grapefruit 4/5 (Lg) Bushel :		Red Grapefruit 2/5 (Sm) Bushel :
Hamlin 4/5 (Lg) Bushel (Juice Oranges) :		Hamlin 2/5 (Sm) Bushel (Juice Oranges) :
Red Delicious Apples - Full bushel :		Red Delicious Apples - Half bushel :
Fuji Apples - Full bushel :		Fuji Apples - Half bushel :
Golden Delicious Apples - Full bushel :		Granny Smith Apples - Full Bushel :
Grand Slam Gift Box :		Holiday Gift Box :
Premium Gift Box :		Mixed Citrus Box :
Apple & Pear Combo :		8 Del Monte Premium Pinapples:
Pear Box :
Orange Juice :		Lemonade:
Half Bushel Mesh Bags (100/bundle) :		Quarter Bushel Mesh Bags (100/bundle) :
(Shipped only with citrus orders)		(Shipped only with citrus orders)
"Florida's Best" BRAND NUTS FREE SHIPPING for orders of 20 cases or more of nuts.   OR FREE SHIPPING when shipped with your fruit order. Add $6.00 per case to the following nut products to defray freight costs if you order less than 20 cases or not shipped with your fruit order. (SOLD BY CASE ONLY)
Peanut Gift Pack:		Chocolate Nut Gift Pack:
3 can pack / 6 Gift Packs per master case		6 Gift Packs per master case/2 can pack
Gourmet Honey Roasted Mixed Nuts:		Buttery Caramel Corn w/Nuts:
6 Gift tins per case/30 oz tin		6 Gift tins per case/20 oz tin
Harvest Blend Mixed Nuts:		Whole Cashews:
12 cans per case/16 oz can		12 cans per case/16 oz can
Select Mixed Nuts:		Pecan Halves:
12 cans per case/16 oz can		12 bags per case/16 oz bag
Milk Chocolate Pecans:		Skinless Southern Fried Peanuts:
12 cans per case/12 oz can		12 cans per case/16 oz can
Brittle Bites:		Honey Roasted Pecans:
12 cans per case/12 oz can		12 cans per case/8.5 oz can
Butter Toffee Peanuts:		Chocolate Covered Peanuts:
12 cans per case/12 oz can		12 cans per case/12 oz can
Honey Krunch Peanuts:		Roasted Almonds:
12 cans per case/12 oz can		12 cans per case/9 oz can

THANK YOU FOR YOUR ORDER!
Method of Payment :	Established Account Visa MasterCard
	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.
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