-ELGIN ORGANICS.COM - Order Form

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Name:	*
Company:
Postal Address:

Postal Code:

Delivery Address:	*

Postal Code:

Telephone Number:	*
Fax Number:
Email Address:

Variety:	*
Type of Pack:		18,3 kg carton
		12,6 kg carton
		12,0 kg Econo Pack
		11,0 kg Jumble Pack
		3 kg tray (peaches only)
Number of Units:	*


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