Name *

First Name

Last Name

Phone *

(###)

###

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Day and Time of Pick-Up *

PLEASE SELECT ONE DATE WITH ONE TIME SLOT.

Sunday October 10 between 12pm to 1pm

Sunday October 10 between 1pm to 2pm

Sunday October 10 between 2pm to 3pm

Sunday October 10 between 3pm to 4pm

Monday October 11 between 12pm to 1pm

Monday October 11 between 1pm to 2pm

Monday October 11 between 2pm to 3pm

Method of Payment *

E-Transfer

Cash upon Pick-Up