Personal Order Form | Not for donation to Food for Lane County Name* First Last Email*Information is strictly confidential and will not be shared. Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Notification*How would you like to be notified? Email Phone Call Text Home Delivery (if needed) Enter below the quantity of each item Grapefruit, 20 lb. box Quantity Price: $36.00 Quantity Oranges, 10 lb. box Quantity Price: $30.00 Quantity Apples, 18 lb. box Quantity Price: $35.00 Quantity Unsorted Cracked Hazelnuts, 5 lb. bag Quantity Price: $25.00 Quantity DonationConsider an additional donation to help the League continue to support our community by educating and informing the public. Grand Total $0.00 Credit Card*Card Details Cardholder Name Δ