Name:
*
Address:
*
Postcode:
*
Telephone:
*
Email:
*
Please supply me each week with a box or organic vegetables and salads to the value of:
£10
£12
£14
£16
£20
(please select)
I w
ould also like fruit to the value of £
(minimum £4)
Please supply my first box week ending
(we will let you know which day)
*
I would like this box delivered
:
Weekly
Fortnightly
I would also like extras
(bread, eggs, dairy etc) - please specify and also state frequency - weekly, fortnightly or monthly):
I am usually feeding
0
1
2
3
4
5
6
7
8
9
10
adults and
0
1
2
3
4
5
6
7
8
9
10
children (select)
Please mark the produce list below with your likes and dislikes:
(Do be realistic! If you are only having a small box, you will get a larger quantity for your money if you regularly have some of the more common vegetables)
Never
Occasion
-ally
OK
Like
Must Have
Potatoes - reds
Potatoes - whites
Potatoes - bakers
Potatoes - new
Carrots
Onions
Parsnips
Swede
Turnips
Beetroot
Celeriac
Kohlrabi
Jerusalem artichoke
Sweet potatoes
Beans - french
Beans - broad
Beans - runner
Beans - flat
Brussel sprouts
Cabbage - red
Cabbage - white
Cabbage - green
Cabbage - spring
Never
Occasion
-ally
OK
Like
Must Have
Calabrese/Broccoli
Cauliflower
Courgettes
Curly Kale
Globe artichokes
Leeks
Purple sprouting
Spinach
Swiss Chard
Sweetcorn
Marrow
Spaghetti marrow
Squash various
Peas
Sugar peas
Aubergines
Lettuce - crisp
Lettuce - round
Lettuce - little gem
Lettuce - fancy
Lettuce - lambs
Salad sprouts - mixed
Salad sprouts - wheat
Salad sprouts - alfalfa
Never
Occasion
-ally
OK
Like
Must Have
Endive
Chicory
Chinese leaves
Celery
Cucumber
Fennel
Mushrooms
Salad onions
Peppers - red
Peppers - green
Peppers - yellow
Radish
Mouli
Salad packs
Rocket
Tomatoes
Cherry tomatoes
Pak choi
Watercress
Mustard and cress
Basil
Coriander
Mixed herbs
Never
Occasion
-ally
OK
Like
Must Have
Parsley
Green chilli peppers
Garlic
Ginger
Apples - eating
Apples - cooking
Pears
Plums
Rhubarb
Raspberries
Strawberries
Cherries
Grapes
Melon
Kiwi
Avocado
Bananas
Pineapple
Mango
Oranges
Clementines
Satsumas
Grapefruit
Lemon
Lime
I understand that I will receive this box unless I cancel or put in a special order by 7am on Tuesday.
Please click
here
to read our terms & conditions - by clicking on 'Submit' you show that you agree to them.
Fields marked * are required fields
© 2010 Chipping Norton Organics
Unit 1, Greystones Business Park, Burford Road, Chipping Norton, Oxon OX7 5UY. Telephone: 01608 642973