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Our Selections
Our Farms
Why Heartland?
Media & Blog
Get Started
Reorder Now
Sales Person – Reorder Request
Shannon Slattery
2021-05-13T22:21:24-04:00
Sales Person - Reorder Request
Customer's Name
*
Type of Reorder-
*
In Person
Virtual
Phone Call with no set Date/Time
Status-
*
Scheduled - Pull Reorder Slip/Confirm Payment Status ONLY
Phone/Virtual Order Pending - Send Packet, Pull Slip and Confirm Payment Status
Needs to be called to Schedule
Other
Other
Time (if scheduled)
12
1
2
3
4
5
6
7
8
9
10
11
:
00
15
30
45
AM
PM
Date (if scheduled)
Specific Details Needed- Click All that Apply!
*
Full Reorder Packet
Last Order from Quickbooks
All Receipts for Conversion
Reorder Slip
Payment Status
PP Status
Discount
Nothing Needed
Best Number To Call For Confirmation
Check All That Apply
Mr
Mrs
Cell
Work
Home
Notes from call / email
Who Submitted?
*
Your email address for COPY of form
If you are human, leave this field blank.
Submit
Let's get to know you a bit more!
Your Family Size
- Select Family Size -
2
3
4
5 and more
Where do you live?
What is your Email?
How often do you eat outside food due to lack of time per week?
Under 1 time per week
1
2
3+
How much do you spend on eating outside food per week?
$0-$100
$100-$150
$150-$200
$200-$250
$250+
Your current lifestyle
Lifestyle reasons for not eating more at home
Busy schedule
Not enough time
Meal prep takes long
Not good food options
Food goes waste
Impulse buys
Do not like shopping
What will help you to eat more at home?
Convenience
Easy prep
Save time
Save money
Quality
How much do you spend on groceries per week?
$75-$125
$125-$175
$175-$225
$225-$275
$275-$325
$325-$375
$375+
Get Started