Order Form

ORDER FORM

*Please note:
Due to frequent high temperatures throughout the country, it is required that all perishable items must be shipped overnight during the months of May - September. We apologize for the inconvenience.

We are currently working on our on-line store. Until it is completed, please feel free to print this page,
fill it out and fax it to us at 805-386-3994 or mail it to us at the following address:

Underwood Family Farms
PO Box 596
Somis, CA 93066

You may also call us at our Farm Market anytime between our business hours of 9am - 6pm PST, 7 days a week at 800-932-4252. All orders will be shipped via federal express to arrive within 48 hours.
Overnight shipment is certainly available for an additional $10.00.

Sender's Information

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Your Name

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Your Address Street

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City State Zip

Credit Card Orders: □ Visa □ MasterCard
*We accept Visa & MasterCard only

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Card Holder's Name

_________________________________________________
Phone

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Expiration Date

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Credit Card Number

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Signature

Shipping Information
Descriptive Brochure Included In All Orders

1) Ship To: Assortment # _________________

Name: __________________________________________________

Street Address: __________________________________________

City: ___________________ State: ________ Zip:_____________

Phone: __________________________________________________

Special Gift Message: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

Requested Delivery Date: _________________________________

2) Ship To: Assortment # _________________

Name: __________________________________________________

Street Address: __________________________________________

City: ___________________ State: ________ Zip:_____________

Phone: __________________________________________________

Requested Delivery Date: _________________________________

TOTAL
Please Note: Fed Ex Shipping Costs Have Changed As Of 2005. Overnight delivery is an additional $10.00.

Qty.	No.	Item Name:	Assortment Cost (Per Assortment)	Shipping Cost (Per Assortment)	Total:
_______	1	Country Garden	$27.00	$14.48	__________
_______	2	Bountiful	$43.00	$18.62	__________
_______	3	Bumper Crop	$57.00	$24.50	__________
_______	4	Sara Jane	$55.00	$22.75	__________
_______	5	Saticoy Supreme	$86.00	$32.40	__________
_______	6	Somis Sunrise	$33.00	$17.34	__________
_______	7	Suzannah	$48.00	$24.50	__________
_______	8	Saint James	$69.00	$27.83	__________
_______	9	Megan's Medley	$19.00	$9.50	__________

*Please check two of the following if you are ordering Megan's Medley:
□ Avocado □ Sweet Onions □ Pear Tomatoes □ Yellow Bell Pepper

Special Orders Can Be Accommodated Daily. All Prices Include Sales Tax.
Local Orders Can Be Picked up at Underwood Family Farms in Somis.
Click Here for Directions.