Gift Basket / Box Orders Customer Name* Employee Name Phone Number Original Baskets:Original Baskets New Castle $35 Kent $55 Sussex $75 Pick Up Date: MM slash DD slash YYYY Local Delivery ($15) Local Delivery ($15) Date MM slash DD slash YYYY Local Delivery Address (Cheswold - Felton) Card Message: Notes: Build Your Own Basket:New Castle Empty $8 With Apples $18 Kent Empty $10 With Apples $22 Sussex Empty $12 With Apples $24 Pick Up Date: MM slash DD slash YYYY Local Delivery ($15) Local Delivery ($10) Date MM slash DD slash YYYY Build Your Own Basket Local DeliveryLocal Delivery Address (Cheswold - Felton) Card Message: Notes: Gift BoxesGift Boxes Fruit Box - NOT shipping $25 Fruit Box - Shipping $55 "Taste of Fifer's" Box $69 Jar Box with Foam $40 *Shipping charges included in priceDelivery Address Apple Variety Jellies Variety Card Message: Notes:Total Charge PaymentForm of Payment Cash Check Card CAPTCHA Farm & Country Store1919 Allabands Mill RdCamden Wyoming, DE 19934Fifer’s Farm Market Cafe200 Cullen StDewey Beach, DE 19971
