Timber Creek Farms New Customer Signup

First Name *
Last Name *
Delivery Address 1st Line *
Delivery Address 2nd Line
City *
State *
Zipcode *

xxxxx-xxxx

To find out your delivery day, click here for our route finder

Home Phone *
xxx-xxx-xxxx
Cell Number
xxx-xxx-xxxx
Email *
How did you find out about us?
If someone told you about us, give them credit so we can too.
Would you like to receive our Newsletter? You get nutritional information, news about specials, updates and recipes
 Yes 
 No 
Are you signing up as part of a fundraiser group? *
 Yes 
 No 
What is the name of your group?
 
Delivery cycle preference - Please check one
 Every Week Delivery 
 Every Other Week Delivery 
 Once a Month 

Delivery Instructions - Leave any special instructions like "Ring Bell", or "Leave on back porch". If you will not be home for your delivery, we suggest you leave a cooler out for the driver so he can transfer your produce and diary into it. In the summer you may want to put an ice pak in the cooler also. This will protect your food from the elements.

Also if you have any special directions for finding your house, you can put them here also.

Produce Box Choices
 Fruit Box - $38.93 
 Family Fruit Box - $45.49 
 Our Fanciest Fruit Box - $73.27 
 Vegetable Box - $38.93
 Fruit & Vegetable Box - $38.93 
 Fruit & Vegetable + More Fruit Box - $43.48 
 Fruit & Vegetable + More Veggies Box - $43.48 
 Goody Box - $45.49 ( A little bigger Fruit & Veggie Box) 
 Farmers Market Box - $52.17 (Perfect for larger familes) 
 Fruit & Salad Box - $38.93 
 Salad Fixin Box - $38.93 
 Makin' Baby's Food Box - $38.93 (Good for little tummies) 
 Playfood Box - $58.65 (Cut up kid friendly treats) 
 Nursing Box - $38.93 
 A Box for Only Me - $38.93 (smaller portions for singles) 
 Ultra Veggie Juicing Box - $52.17 
 I Will be ordering the Picky Produce online 
Download our Brochure for more choices

Special Instructions - Any other items you would like to add? Do you want to add our chop chop service for $14.95 Do you need milk or eggs or bread? Feel free to add those items in the box below.

You can also use this area for any questions you may need to ask us. Someone will get back to you with an answer as soon as possible.

Once you have sent your signup, please take a moment to call us at 630-553-1119 to give us your credit card information. We do not take this over the internet. Once your payment method is secure, we will give you your delivery day and release your order.

 

Before you click Sign Me Up, Print out our Customer Payment Form.

Fill it out and Fax it to 630-553-1557 or scan and email it to gail@tcforganics.net