Order Form

Product	Item Price	Quantity	Totals
California Navel Oranges Per Case	$ 28.00		$
California Navel Oranges Per 1/2 Case	$ 20.00		$
Grapefruit Per Case	$ 28.00		$
Grapefruit Per 1/2 Case	$ 20.00		$
		Sub Total: $
Select a delivery option	Pick up locally		$
		Total: $
Last Name		First Name
Address		city
State		Zip
Phone		email
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