
How to order:
Please register by sending an email including the information below.
(You may copy and paste this form into your email to us, then fill in the blanks)
Your Name:
l Company Name:
l Title:
Address:
City:
State:
Zip:
Phone (with area code):
Email address:
What are you purchasing?
a) Delivery only
b) Products as well as delivery
Who are you ordering for?
a) Restaurant
b) Individual use
c) Food Co-op or other collective
d) School, Hospital or other institution
e) Other (please describe)
How did you find us?
a) Google or other search engine
b) Kansas City Food Circle (or other website):
c) Referral:
d) Flier/brochure from:
e) Computer article (what website?)
f) Magazine or Newspaper article (what publication?)
How often do you plan to order?
a) More than once a week
b) Once a week
c) Once a month
d) Very occasionally as needed
What items would you like to see us to carry? (please check all that apply)
a) Local Fresh Produce
b) Locally grown Organic produce
d) Locally raised meat and eggs
e) Locally processed foods
f) Organic produce from California in winter months, (when local isn't available)
g) Frozen and canned local foods
h) Imported gourmet foods from Italy, Germany, France, England
i) As long as the products are high quality, I don't care where they originate
j) Green products (such as Green Cleaning Products and compostable containers)
For which of our suppliers would you like a product/price list or more information?
1)
2)
3)
Please send me special offers and updates from time to time:
a) Once a week
b) Once a month
c) Don't send me updates -- Thanks anyway
PLEASE SUBMIT YOUR REGISTRATION BY SENDING THIS INFORMATION TO:
Thank you for your registration. We will email you soon with ordering instructions.
In the meantime, please call us at 816-690-6001 if you have need for
immediate service, specific price quote or for more information
