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11th ANNUAL TAKENA KIWANIS BERRY SALE | Rev 2 | ||||||||||
| Frozen Berry Order Form | ||||||||||||
| NAME | DATE | |||||||||||
| ADDRESS | PHONE | |||||||||||
| REFERRED BY | Newspaper | |||||||||||
| Mailing | ||||||||||||
| PAID BY : | Check # | Website | ||||||||||
| Cash | Radio | |||||||||||
| Other ___________________ | ||||||||||||
| Individually quick-frozen Blueberries 9 lbs. | @ $30.00 each | |||||||||||
| Individually quick-frozen Marion Berries 9 lbs. | @ $20.00 each | |||||||||||
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| Individually quick-frozen Boysen Berries 9 lbs | @ $20.00 each | |||||||||||
| Individually quick-frozen Strawberries 9 lbs. | @ $20.00 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 | ||||||||||||
| ------------------------------------- Cut Here ------------------------------------ | ||||||||||||
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11th ANNUAL TAKENA KIWANIS BERRY SALE | |||||||||||
| Customer Receipt | ||||||||||||
| NAME | ADDRESS | |||||||||||
| PAID BY : | Check # | Cash | DATE | |||||||||
| Quantity | Total | |||||||||||
| Individually quick-frozen Blueberries 9 lbs. | @ $30.00 each | |||||||||||
| Individually quick-frozen Marion berries 9 lbs. | @ $20.00 each | |||||||||||
| Individually quick-frozen Boysen Berries 9 lbs | @ $20.00 each | |||||||||||
| Individually quick-frozen Strawberries 9 lbs. | @ $20.00 each | |||||||||||
| Grand Total | ||||||||||||
| Last date to order is August 4, 2009 | ||||||||||||
| Albany pick-up will be Tuesday, August 18, 2009, 4:00 PM - 7:00 PM | ||||||||||||
| Pick-up location is between Dutch Bros and Arco Station at 1128 Pacific Blvd | ||||||||||||
| Berries are distributed from a refrigerated truck and should be kept frozen until used. | ||||||||||||
| For additional information, please phone 541-974-0567 | ||||||||||||