11th ANNUAL TAKENA KIWANIS BERRY SALE								Rev 2
			Fresh Raspberry/Marion Order Form
	NAME					DATE
	ADDRESS					PHONE
	EMAIL					REFERRED BY		Newspaper
								Mailing
	PAID BY :	Check #						Website
		Cash						Radio
								Other ___________________
	Quantity								Total
		15 lb Fresh Raspberries  (pail)					$40.00 each
		15 lb Fresh Marion Berries  (pail)					$30.00 each
							Grand Total
		Return the top half of this form with payment to: Takena Kiwanis, PO Box 1062,
		Albany, OR 97321 or drop it off at: Newman's 76 Station, 1208 Pacific Blvd SE
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			11th ANNUAL TAKENA KIWANIS BERRY SALE
			Customer Receipt
	NAME					ADDRESS
	PAID BY :	Check #		Cash		DATE
	Quantity								Total
		15 lb Fresh Raspberries  (pail)					$40.00 each
		15 lb Fresh Marion Berries  (pail)					$30.00 each
							Grand Total
Last date to order is July 3, 2009
Albany pick-up will be Thursday, July 9, 2009, 4:00 PM - 7:00 PM
	Pick-up location is between Dutch Bros and Arco Station at 1128 Pacific Blvd
Berries  should be kept chilled to ensure freshness
For additional information, please phone 541-974-0567