Please correct and fill in any missing information
below. Items with an asterisk * are required. Please make sure
to list a secondary contact and phone number for that person. If
you are a new contact person for this organization, please correct
the appropriate fields before faxing to us at 815-626-5946. |
| *Advisor Name: ______________________________ |
*School Phone: ________________________ |
| *School Name: ______________________________ |
*Ext: ______________________________ |
| *Organization: ______________________________ |
*School Fax: __________________________ |
| *Mailing Address: ____________________________ |
Home Phone: _________________________ |
| *City, ST, Zip: _______________________________ |
Cell Phone: -__________________________
|
| *E-Mail: ____________________________________ |
Open Hour: ___________________________ |
| *Secondary Contact: __________________________ |
*Phone/Extension #: ____________________ |
* Blue Freedom Farm Markets,
Inc. is getting ready to order brochures and packaging materials
for the 2005-06 Fundraising Programs! Please fill out the information
below to assist us in providing you with brochures and your desired
start and
delivery
dates.
|
Please fax this form back to us as soon as possible
at (815)626-5946!
Selling: (circle one) FRUIT FRUIT/CHEESE
AND SAUSAGE SNACK
STICKS
# of
Students Selling: ________________ # of Brochures Needed:____________
Suggested Retail*: (circle one) YES NO
*If changing prices, please attach a copy of
price changes on a separate sheet.
Start Date: __________________________
Delivery Date:
_______________________ Time: ________________________
Delivery Location: __________________________________________________
|
This confirms that all information and dates are correct and that
delivery is expected on the dates listed above. I
understand, due to fuel costs, there is a minimum order of 100 units
and there will be a delivery charge of
$100 for any order under 300
units. |
Authorized Sponsor’s
Signature: ________________________________________Date:
________________
Master Tally Fruit Sale Master Tally Fruit, Cheese &
Sausage Home
Blue Freedom Farm
Markets, Inc. 1-800-626-7582
1829 N. Locust Street - Sterling, IL -
61081
blue@bluefreedom.com
Sterling, IL Johnstown,
NY Chippewa Lake,
OH Plant City, FL |
Blue Freedom Farm Markets,
Inc.