Online Pre-Order Form

Online Pre-Order Form (6 Item Limit)

Directions:
To place a Pre-Order simply fill out the form below. Please make sure the information below matches with the information you used when you signed up. If you need additional help email us at preorders@alternativefoodcoop.com or contact the store. (401-789-2240)

Your order number is: Delivery Date: (If the date listed is incorrect your order will still be processed. Important Note)

First Name: Last Name:

Home Phone: C.P.I.C.

Last four digits of credit card number: The one you provided when you registered.

Click titles for help.	Product#	QTY	Company	Description	Page#	Price Each	Total Price
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Total does not include a 7% RI State Sales Tax that will be applied to all taxable items and does not reflect any incorrect prices entered that will be corrected by Co-op staff. Please include a 5% surcharge which will cover the cost of operating the preoder buying club.						Total

Special Instructions/Notes:

<--- By typing "yes" I agree to all terms and conditions.

Please check all information! (common mistakes)