Requested delivery start date  *

-- Please Select --Week beginning February 5 Week beginning February 12 Week beginning February 19 Week beginning February 26 Week beginning March 4 Week beginning March 11 Week beginning March 18 Week beginning March 25 Week beginning April 1 Week beginning April 8 Week beginning April 15 Week beginning April 22 Week beginning April 29

Delivery Schedule *

-- Please Select --Every 7 Days Every 14 Days Every 21 Days Every 28 Days As Needed

Delivery or Pick Up options *

-- Please Select --A home delivery An office delivery Off The Vine - Cartersville, Georgia - THE HERB SHOPPE Pick Up Location Off The Vine - Fort Walton Beach, Florida - OFF THE VINE OFFICE - 11 Eglin Pkwy - 1pm-6:30pm Off The Vine - Navarre, Florida - LIGHTHOUSE CHRISTIAN ACADEMY Pick Up Location Off The Vine - Crestview, Florida - BODY-B-HEALTH Pick Up Location Off The Vine - Fort Walton Beach, Florida - BRAVA STUDIO Pick Up Location - 306 Perry Ave. - 1pm-4pm Off The Vine - Niceville, Florida - BLUEWATER BAY FITNESS Pick Up Location Off The Vine - Niceville, Florida - BLUEWATER CHIROPRACTIC WELLNESS CENTER Pick Up Location Off The Vine - Destin, Florida - KITCHENIQUE Pick Up Location Off The Vine - Santa Rosa Beach, Florida - PILATES BY THE SEA Pick Up Location Off The Vine - Rosemary Beach, Florida - WILD OLIVES MARKET Pick Up Location Off The Vine - Panama City, Florida - SOMETHIN'S COOKIN' Pick Up Location Off The Vine - Pensacola, Florida - ARAGON WINE MARKET Pick Up Location Off The Vine - Tallahassee, Florida - SIMPLY ENTERTAINING Pick Up Location Off The Vine - Tallahassee, Florida - VERITY HEALTH CENTER Pick Up Location Off The Vine - Pace/Milton, Florida - ALTERNATIVE HEALTH FOOD STORE Pick Up Location Off The Vine - Pace, Florida - THE WELLNESS CENTER Pick Up Location Off The Vine - Birmingham, Alabama - BIRMINGHAM BAKE & COOK CO. Pick Up Location

Box placement and/or gate code? Please state below any special instructions.

How did you learn about us?

-- Please Select --Internet search Advertisement Friend Off The Vine Event The Herb Shoppe of Cartersville Brava Studio & Spa Uniquely Chic Kitchenique Pilates by the Sea Somethin's Cookin' Aragon Wine Market Wild Olives Market Simply Entertaining Alternative Health Food Store The Wellness Center Body-B-Health Lighthouse Christian Academy Birmingham Bake & Cook Co. Verity Health Center Bluewater Chiropractic Wellness Center Other

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Please state the county you live in below. *

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