Rotary Club of La Crosse Fruit Box Order Form

All proceeds go to the Rotary Club of La Crosse and are used to support a wide variety of activities and initiatives.

Each box contains 8 apples, 4 oranges, 4 pears, and a bag of nuts. Fruit is packed in elegant and sturdy white boxes.

Pick up your boxes on Sat. December 14th or Monday, December 16th, or we will deliver to within a 20 mile radius of La Crosse!

Rotary Club of La Crosse-Downtown Rotarians: you are required to purchase 5 fruit boxes OR you may choose the $100 buy-out. If you wish to donate your fruit boxes to a nonprofit, simply note the appropriate delivery address in the field provided.

Pricing:

1-19 Fruit Boxes:
Early-bird pricing! $25.99 per box Oct. 21 - Nov. 29
Regular pricing: $27.99 per box Nov. 30 - Dec. 6 at Noon

Bulk Order Discounts:
20+ Fruit Boxes: $24.99 per box
50+ Fruit Boxes: $23.99 per box
100+ Fruit Boxes: $21.99 per box
200+ Fruit Boxes: $20.99 per box
For orders of 20 or more, please submit your order and choose the "pay by check" option. We will send you an invoice with the discount reflected. Bulk orders may be picked up or delivered to a single address.

"*" indicates required fields

Your Name:*

Your Phone Number:*

Your Email Address:*

Fruit Box Purchase*

I would like to purchase fruit boxes

Rotary Club of La Crosse Rotarians Only: I would like to do the buy-out

If you select "I would like to purchase fruit boxes," fields will be displayed where you can enter the desired quantity, choose pick up or delivery, and delivery addresses.

Rotarian to be credited for purchase if applicable:

Buy-Out*

Price:

Number of boxes I will pick-up at 27 Market Street, La Crosse on Sat. December 14th Quantity*

Price: $25.99

Quantity

Number of boxes I will pick-up at 27 Market Street, La Crosse on Mon. December 16th Quantity*

Price: $25.99

Quantity

Number of addresses you will need boxes delivered to:*

Choose "No deliveries" if none. We will deliver boxes with locations within a 20-mile radius of La Crosse.

First Delivery

First Delivery Recipient Name:

First Delivery Street Address:

First Delivery City:

First Delivery State:

First Delivery Zip Code:

First Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Second Delivery

Second Delivery Recipient Name:

Second Delivery Street Address:

Second Delivery City:

Second Delivery State:

Second Delivery Zip Code:

Second Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Third Delivery

Third Delivery Recipient Name:

Third Delivery Street Address:

Third Delivery City:

Third Delivery State:

Third Delivery Zip Code:

Third Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Fourth Delivery

Fourth Delivery Recipient Name:

Fourth Delivery Street Address:

Fourth Delivery City:

Fourth Delivery State:

Fourth Delivery Zip Code:

Fourth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Fifth Delivery

Fifth Delivery Recipient Name:

Fifth Delivery Street Address:

Fifth Delivery City:

Fifth Delivery State:

Fifth Delivery Zip Code:

Fifth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Sixth Delivery

Sixth Delivery Recipient Name:

Sixth Delivery Street Address:

Sixth Delivery City:

Sixth Delivery State:

Sixth Delivery Zip Code:

Sixth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Seventh Delivery

Seventh Delivery Recipient Name:

Seventh Delivery Street Address:

Seventh Delivery City:

Seventh Delivery State:

Seventh Delivery Zip Code:

Seventh Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Eighth Delivery

Eighth Delivery Recipient Name:

Eighth Delivery Street Address:

Eighth Delivery City:

Eighth Delivery State:

Eighth Delivery Zip Code:

Eighth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Ninth Delivery

Ninth Delivery Recipient Name:

Ninth Delivery Street Address:

Ninth Delivery City:

Ninth Delivery State:

Ninth Delivery Zip Code:

Ninth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Tenth Delivery

Tenth Delivery Recipient Name:

Tenth Delivery Street Address:

Tenth Delivery City:

Tenth Delivery State:

Tenth Delivery Zip Code:

Tenth Delivery Recipient's Phone Number:

Your name, as you wish it to appear on the gift card:

Number of boxes to be delivered to this address: Quantity*

Price: $25.99

Quantity

Preferred date for this delivery:*

Sat. December 14th

Mon. December 16th

Payment

Pay by:*

Check (MEMBERS ONLY: if payment not received by Dec. 7, you will be invoiced)

Venmo (@RotaryClub-LaCrosse, #4491)

Credit Card

Make check payable to Rotary Club of La Crosse and mail to PO Box 1914, La Crosse, WI 54602-1914. Or pay with Venmo to @RotaryClub-LaCrosse, phone #4491

Online Processing Fee:*

Price: $0.00

Online Processing Fee:*

Price:

Total

Credit Card*

Card Details

Cardholder Name

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