Farmgate Cider - Order Customization Form

Farmgate Cider - Order Customization Form

Use this form to set up or customize your order of Farmgate Cider! Club Members receive regular shipments of cider for an annual fee. Standard Membership includes 8 x 500mL bottles of Farmgate Estate and Craft Cider. Free local delivery, shipping available.
When registering for a Farmgate Club Membership, we will tailor your subscription to your needs. You can use this form to customize your order, and change the pickup date. If we do not receive an order customization form, we will fill the order with a default cider selection.
Name

First Name Last Name
Email
example@example.com
Order Status
Customize bottle #:

Empties returning
# - type
Comments:
Delivery Preference
Delivery Date

Month Day Year
Date
Legal Disclaimer:

Order customization that exceeds the membership allotment will be subject to additional invoice.
How would you rate your last order of Farmgate Cider?
Should be Empty:

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