Sign-Up for Urban Harvest Organic Delivery

Serving the Central Okanagan (Westbank to Winfield) fresh organic produce.

Please fill in the following customer profile.

First name:
Last name:
Alternate Contact:
Phone (day):
Phone (eve):
Email:
How did you hear about us?:	If you heard about us from another customer, please tell us who, so we can thank them. (We offer a $10 credit to customers who refer new customers, as our way of saying "thanks"!)
Preferred Harvest Box Option:	Regular Harvest Box ($40.00) delivered each week Regular Harvest Box ($40.00) delivered every two weeks (bi-weekly) Regular Harvest Box ($40.00) delivered on a "flex" (per-order) schedule Family Harvest Box ($60.00) delivered each week Family Harvest Box ($60.00) delivered every two weeks (bi-weekly) Family Harvest Box ($60.00) delivered on a "flex" (per-order) schedule
Delivery Address & Nearest Cross Street:
Special Delivery Instructions:	(eg, front porch, side door, inside garage, under back patio, watch out for dog??) If you live in an apartment or gated community, please indicate a convenient way for us to drop off your box OR an alternate delivery location.
The following information will be referenced only if you do not place your own web order for a scheduled delivery.
Please avoid sending me:	(up to six items)
Favorite 3 Fruits:
Favorite 3 Vegetables:
Further Instructions or Comments:
In lieu of a bin deposit, please check to confirm you have read our honour agreement:
I understand produce will be delivered in a blue bin (Rubbermaid tote) that is the property of Urban Harvest. It is my responsibility to store the bin clean, dry, empty, and have it available for my next delivery (or return it to the warehouse, if applicable). If taking a break from deliveries for longer than 3 weeks, I will contact Urban Harvest to arrange a pick-up, so it can remain in circulation. I am aware that there is a $10 replacement fee for lost/damaged bins.