Produce Pick Up Form Produce Pick Up Form Name * First Last * Last Phone * Zip Code * Email Company Anyone in your household over 55? * Yes No Order Type * Online order Purchase Potatoes and/or Onions Purchase Greens Pick Up Time * Thursday, November 20 | 3:00-5:30PM Friday, November 21 | 3:00-5:30PM Saturday, November 22 | 3:00-5:30PM If you are purchasing produce online, you MUST fill out this form once per purchase NOT per item. Online purchases MUST be picked up at Pearson's Family Farm at the date that you choose in this form. For large orders, bring help to load your order. There will be an extra fee if we have to load for you. Pearson's Family Farm is located at 2430 E. 33rd Street North Wichita, KS 67219. * I understand Submit If you are human, leave this field blank.