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A phone and checking account are required for delivery service.

Please fill in the fields below and we will assign your customer number so your account will be set up for deliveries. After you receive your customer number, you can create your initial order and decide what products you would like to have delivered to your home. We are also carrying the metal milk boxes with our logo that you can purchase to keep on your porch for that nostalgic but useful touch if you so desire.

You will receive an email confirmation after you have clicked on the submit button at the bottom of this form. If you do not receive this confirmation, please resubmit this form.



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Rural Directions/
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 Check any items that  interest youGlass bottled milk
 Glass bottled chocolate milk
 Glass bottled organic milk
 Bottled water
 Yogurt
 Soda
 Orange juice
 Ice cream
 Chocolate items
 Frozen pizza/dinners
 Bread
 Eggs
 Cheese
 Mr Milkman milkbox
Other items: