Graise Form Egg Order Form

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GRAISE Farm Egg Order Form

To order eggs directly from Graise Farm, complete the order form below and schedule a pick-up time. Please order a minimum of 24 hours in advance. An email confirmation with payment and pick-up instructions will be sent to you.

* Indicates required field

Name *

First

Last

Email *

Chicken Egg Quantity ($4.00 a dozen) *

1 dozen 2 dozen 3 dozen Other

To order more than 3 dozen chicken eggs, specify amount here. *

Pullet Eggs (small chicken eggs) Quantity ($3.00 a dozen) *

1 dozen 2 dozen 3 dozen

To order more than 3 dozen pullet eggs, specify amount here. *

Duck Egg Quantity ($10/dozen or $5/half dozen) *

1/2 dozen 1 dozen 2 dozen 3 dozen Other

To order more than 3 dozen duck eggs, specify amount here. *

Payment *

Venmo (@graisefarm) Check (payable to Graise Farm) Cash (exact change preferred) Credit Card (Graise farmer must be present to process)

Specify pick-up day. *

Please specify approximate pick-up time. *

Phone Number (include for text confirmation) *

Did you prefer confirmation by email or text? *

Please add me to Graise Farm's e-newsletter. *

Yes! No Already signed up, thanks.

Comments or questions for the Farmer Tiffany or Farmer Andy *

Submit

LOCATION

16914 Dixon Trail, Faribault, MN 55021
507-491-8188
info@graisefarm.com

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