Name * First Name Last Name Title * Company Name * Company Legal Name The Name in the System Email * Email Address is used for communication, invoicing and statements. If you have multiple, please use the "notes" section below to specify. Phone * (###) ### #### Website http:// Physical Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Notes Payment Options * Net 30 Direct Deposit Check Either works Shameless Radish Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 4 OZ 8 OZ 12 OZ 16 OZ 20 OZ 24 OZ 28 OZ 32 OZ 36 OZ 40 OZ 44 OZ 48 OZ 52 OZ 56 OZ 60+ OZ Shameless Arugula Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 6 OZ 12 OZ 20 OZ 26 OZ 32 OZ 38 OZ 44 OZ 50+ OZ Shameless Peas Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 8 OZ 16 OZ 24 OZ 32 OZ 40 OZ 48 OZ 56 OZ 64 OZ 72 OZ 80 OZ 88 OZ 96 OZ 104+ OZ Shameless Salad Mix Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 4 OZ 8 Oz 12 OZ 16 OZ 20 OZ 24 OZ 28 OZ 32 OZ 36 OZ 40 OZ 44 OZ 48 OZ 52 OZ 56 OZ 60+ OZ Shameless Basil Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 2.8 OZ 5.6 OZ 8.4 OZ 11.2+ OZ Shameless Cilantro Microgreens * Please select your first order amount. You can always adjust amounts from month to month. 0 OZ (per week) 2.8 OZ 5.6 OZ 8.4 OZ I agree to the Terms and Conditions * Thank you for choosing Shameless Farms. We truly appreciate your business!
