Application Form

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Please read the following statements and indicate whether you AGREE or DISAGREE (according to your household’s situation).

1. By submitting this form, I certify that all of the information above is to the best of my knowledge and belief true, correct and complete.
2. By submitting this form, I agree to give up my right to a credit or replacement box in the event that I can’t pick up my order during pick-up hours.