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Renfrew County Good Food Box order form – Online Payment

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Desired pick-up location(Required)

Name of person picking up the order, if you will not be be picking it up yourself.

Good Food Box (Required)

Price: $ 20.70 CAD

117 Boxes remain to be ordered.

The Price Includes a 3.5% Credit Card Processing Fee of $0.70 per box.

Payment Total

Credit Card(Required)

Cardholder Name

Card Details

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