Order Form

 Umpqua Organic Farm, LLC                                
  179 Capital Lane - Roseburg, OR 97470

      

Our pears are packed in custom made shipping boxes.
Available in three weights and packaging options.  WEIGHT GUARANTEED!  

If the variety you wanted is sold out, why not try another? Chances are that you'll also like them. The only reason for the unavailability of a particular variety was due to the lack of cooperation on Mother Nature's part.

Corporate Discounts Available

7 lb. Box - Our "More Than a Mouthful" size contains 9 of our largest pears - $26.95 plus $8.55 shipping 
6 lb. Box - This is our "Family Pack" and contains 12 of our average size pears - $22.95 plus $8.10 shipping
5 lb. Box - Our "Standard Pack" contains 9 of our above average size pears - $19.95 plus $7.64 shipping

        OR CALL IT IN!   (541) 673-3223   (9 am - 5 pm  Monday thru Friday, PST - During Season)

Billing Address:  Billing address must be filled out in order to process credit card orders.

Name
Street Address
Address (cont.)
City
State
Zip
Home Phone
E-mail

Here's what we offer for you to send or receive.
WEIGHT GUARANTEED!

OUR  PRODUCT  OFFERINGS

Available in 5lb., 6lb., and 7lb. Boxes

                                           Item A:                 Item B:             Item C:            Item D:              
                                       20th CENTURY          SHINSEIKI            SHINKO        LARGE KOREAN

Send First Box To:  If same as billing address, you may just type Same in name field.

Name

Street Address

Address (cont.)

City

State

Zip

Phone

Select Item to send (see item list above) 

Quantity     

                                            Write your gift card message here 

Send Second Box To:

Name
Street Address
Address (cont.)
City
State
Zip
Phone  

 

 

 

 


Select Item to Send
 

                                                                                            Quantity

                                   Write your gift card message here 

Send Third Box To:

Name
Street Address
Address ( Cont)
City
State
Zip
Phone

                                   

 

 

 

Select Item to Send 
  

                                                                                            Quantity

                                     Write your gift card message here

  Method of Payment      Check       Money Order       Visa       MasterCard 

                         Credit Card #    Expiration Date (example 03-03)

                                                             Total Number of Boxes 

A Reminder - By clicking the submit button this order is immediately sent to us. You cannot go back and change your order. However, if you would like to submit additional orders, simply click the back button in your browser while at your confirmation page.  That will take you back to this screen. You can then reset this form and start with a blank form.

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Copyright © 1999 [Umpqua Organic Farm, LLC]. All rights reserved.
Revised: February 19, 2004