Artichoke Fax Order Form
Print, Fill Out and Fax to: 831 763 2465
I want to order a 12 lb. box of:
_____Jumbo
(8 to 10 per box)
____ Large
(12 to 16 per box)
_____Medium
(18-22 per box)
____Small
(25-35 per box)
____ Baby (50 to 80 per box)
My Name ________________________ My Email Address _______________________

My Mailing Address _______________________________________________________

City and State ___________________ My Zip Code________ Today's Date ___________

Include this message:__________________________Sign my message:_________________

___I looked at the Zone Chart, and I know what Zone my artichokes will be mailed to.

My payment is:______________

My phone number (in case we have questions) ____________________

12 lbs of any size, Includes shipping and handling
Zone 1, 2 & 3
Zone 4 & 5
Zone 6, 7 & 8
3 Day: $39.95
2 Day: $44.95
3 Day: $ 43.95
2 Day: $5395
3 Day: $ 55.95
2 Day: $ 70.95
Metro Hawaii by 3-day air is $59.95 - 2-Day is $69.95
Remote Hawaii by 3 day air is $71.95 - 2 Day is $86.95

Metro Alaska by 2 day is $71.95 - 3 Day is $85.95
Zones are determined by zip code - A Zip Code/Zone Chart is on the Order Form
Bill to my card: (Circle One) MasterCard • Visa • AmEx
Card# _________ - _________ - _________ - _________ exp._______/_____ 

V code (three digits on back of card)_______________

Cardholder Signature__________________________________

Today's Date _____/_____/_____

V code (three digits on back of card)_______________

My Card is on file. Bill to my account.

___ 3 day shipping ___2 day shipping ____ Alaska/Hawaii $57.95

The above prices reflect a 3 day UPS service, you can upgrade to a 2 day service for an additional $10.00. All regular 3 day shipping's go out on Monday, Tuesday. 2 day service can be shipped Wednesday also.


Gift Boxes
6 Jumbo Artichokes and your selection of one sauce:

__ Ojai Cook Garlic Lemonaise

__ Pelican Bay Artichoke Dipping Sauce

__ Ojai Cooks Lemonaise

__ Private Harvest Dill Mayonnaise

__ Ojai Cook Lemonaise Light

__ Ojai Cook Garlic Lemonaise Light

__ Cuisine Perel Garlic Sauvignon Mayonnaise
 

Choose your zone & price:

___ zone 1 or 2

$34.99

___ zone 5

$39.99

___ zone 3

$36.99

___ zone 6

$43.99

___ zone 4

$38.99

___ zone 7

$44.99

___ zone 8

$45.35

Send to:

Sent From

Name__________________________

Name___________________________

Address____________________________

Address____________________________

City___________________________

City___________________________

State/Zip __________________

State/Zip __________________

E-mail___________________________

Phone (____) _________________
Deliver: ASAP______ or________________

Residential_____ business_______

message enclosed______________________
___________________________________

Sign card______________________
Billing Options:

Check has been sent to Farm (Dominic's) $_______

Or, Bill my credit card: (circle one) MasterCard • Visa • AmEx • Discover

Number _________ - ________ - _________ - _________

Expiration Date ______/______

V code (three digits on back of card)_______________

I want to make a donation to PelicanNetwork.
Please add $to my order.
Add me to the PelicanNetwork email list - and make me a member.

(You can mail the order in with a check, if your prefer: Lazzerini Artichokes Highway One at Jensen Road, Moss Landing, CA 95039) - If you have questions call us at 831.722.0181

A Chart to Determine Your Zone
The first three numbers of your zip code in the left column - will correspond to your zone on the right

004 - 374

8

375

7

376 - 379

8

380 - 381

7

382 - 385

8

386 - 387

7

388

8

389 - 392

7

393 - 418

8

420

7

421 - 499

8

500 - 509

7

510 - 511

6

512 - 528

7

530 - 534

8

535 - 540

7

541 - 543

8

544 - 567

7

570 - 577

6

580 - 582

7

583 - 588

6

590 - 591

5

592 - 593

6

594

5

595

6

596 - 599

5

600 - 609

8

610 - 617

7

618 - 619

8

620 - 667

7

668 - 672

6

673

7

674 - 693

6

700 - 704

8

705 - 729

7

730 - 732

6

733

7

734 - 739

6

740 - 745

7

746

6

747

7

748

6

749 - 759

7

760 - 764

6

765 - 767

7

768 - 769

6

770 - 789

7

•

•

790 - 797

6

798 - 832

5

833

4

834 -835

5

836 - 837

4

840 - 844

4

845

5

846 - 854

5

855 - 859

5

860 - 864

4

865 - 880

5

881

6

882 - 885

5

889 - 893

4

894 897

3

898

4

900 - 918

3

919 - 922

4

923 - 933

3

934

2

935

3

936 - 938

2

••

•

939

1

940 - 942

2

943

1

944 - 949

2

950 - 951

1

952 - 954

2

955

3

956 - 958

2

959 - 961

3

962 - 966

2

967 - 969

8

970 - 972

5

973 - 977

4

978

5

979

4

980 - 986

5

987

2

988 - 994

5

995 - 997

8

998

7

999

6

•

•

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