Name

Address

Postcode

Telephone Number

E-Mail

Preferred Pick Up Point
 If you live in the Worcester area you will have to collect your box from one of the pickup points specified

Home Delivery Worcester, London Road - Julia Scott Worcester, Barbourne - Sarah Bell Worcester, Tolledine - Sarah Melville Worcester, St Johns - Jenny & Robert Lewin-Jones Naunton Beauchamp - Mrs J Peach

E-Box Password

Veg Box Size

£6.00 £7.00 £8.00 £9.00 £10.00 £11.00 £12.00 £13.00 £14.00 £15.00 £20.00

Please do NOT include the following veg in my box

Vegetable preferences (exact amounts  if you wish)

Please state the amounts of potatoes, carrots and onions if different from the sample menu

Fruit Box Size

No Fruit £3.00 £4.00 £5.00 £6.00 £7.00 £8.00 £9.00 £10.00 £11.00 £12.00 £13.00 £14.00 £15.00

Please do NOT include the following fruit in my box

Fruit preferences (exact amounts if you wish)

Locally produced free range organic eggs (£1.50 - 1/2 doz)

No eggs 1/2 doz 1 doz 1 1/2 doz 2 doz 3 doz ever weekly fortnightly monthly

Extra Information (optional) - You do not have to fill this in but it helps us to tailor your box to your preferences. Number of Adults and Children in your family. Special dietary needs. What type of meals you prefer i.e. Salads, Meat and Two Veg, Stews, Soups, Stir Fries etc.