State Street Fruit Store Order Form - State Street Fruit Store

State Street Order Form

$15.00 minimum for all orders. Thank you.
Customer Name*
Customer Telephone*
Customer Email*
Pick-up or Delivery*
- Pick-up
- Delivery
We deliver to zip codes 01060, 01062, 01053, 01027
$5.00 delivery charge
Customer Address (Delivery orders only)
Street Address Address Line 2 City State ZIP Code
Liquor orders only

Valid Mass ID required at pick-up/delivery
Customer DOB
Date Format: MM slash DD slash YYYY
We will call you to get credit card information. For your security do not provide it on this form.
Delivery Date
Date Format: MM slash DD slash YYYY
Monday – Friday Only

Delivery orders must be received by 10 am for same-day delivery.
Requested Pick-up Date
Date Format: MM slash DD slash YYYY
and Time (we will call you to confirm)

: HH

MM
Monday – Friday Only

Pick-up location is: State Street Fruit Store

Pick-up orders must be received by 6 pm the day PRIOR to requested pick-up.
Pick-up/Delivery Instructions
Please provide the quantity, size, and any other information to help us fill your order. We will do our best to provide the items you request. We may substitute a different brand or size or provide a similar product, using our best judgment. If you want ONLY the specific item you’ve requested, please check the box Do Not Substitute.
Order Items
Quantity and Item Actions
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