Healthy Food Hub

healthyfoodhub@gmail.com

p. 773.369.7400 or 773.410.3446
PREPAY ORDER FORM 11/5/11
Update all yellow highlights

MEMBER NAME
ITEM QTY PRICE UNIT TOTAL

ITEM

QTY

PRICE

UNIT

TOTAL

Organic Fruit & Vegetables These items must be weighed

Bananas Jumbo Juicing Carrots Mangoes Mesclun Salad Mix Crimini Mushrooms Potatoes-Gold Plums Yams Chef's Mix Beets
CUSTOM ORDER

lbs

oz. $1.00 $0.65 $2.30 $3.30 $3.60 $0.95 $1.15 $1.20

$1.10 $1.90

UOM

Organic Fruit & Vegetables (by bunch, bag or each)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fugi Apples Gala Apples
Bartlett Pears

lb lb lb lb lb lb lb lb lb lb

Large Valencia Oranges Plums Strawberries Raspberries Dandilion Greens Collards Kale Celery Lettuce-Leaf Cilantro Romaine Lettuce Green Onions Spinach Broccoli

$5.60 $4.45 $3.50 $0.60 $0.50 $3.45 $4.05 $1.90 $1.45 $1.10 $1.45 $1.55 $1.15 $1.45 $0.75 $1.65 $1.65

ea

ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Local Produce & Free-Range Meats

B&S Turkeys B&S Cornish Healthy Food Hub Pepper Mix Basu Preserves 4 oz
$4.90 $3.85 $0.50 $5.00

UOM

lb lb
lb lb

$0.00 $0.00 $0.00 $0.00

Local Produce/Products
Sister Imani's Granola Chicago State Talapia Whole

$1.35 $6.50

1/2 lb lb

$0.00 $0.00 $0.00

Affordable Fruit & Vegetables Non-Organic These items must be weighed

Brussel Sprouts Onions -Red Onions-Spanish Green Beans Roma Tomatoes Cherry Tomatoes SOUTH RIVER MISO (per lb) Golden Millet Chick Pea Aduki Sweet Tasting Brown Rice 3 Year Barley Dandilion Leek

LBS OZ

PRICE
$2.15 $0.70 $0.60 $2.40 $0.90 $1.70

UOM lb lb lb lb lb lb

TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Affordable Fruit & Vegetables Non-Organic (by bunch, bag or each)

Asparagus bunch Avocados Collards bunch Turnips bunch Mustards bunch Lemons Limes

QTY

PRICE $2.90 $0.70 $0.85 $0.85 $0.85 $0.50

UNIT
ea ea ea ea ea ea ea

TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$9.75 $9.75 $9.75 $9.75 $11.80 $15.00

lb lb lb lb lb lb UNIT lb lb lb lb lb lb lb lb lb lb lb lb lb lb lb lb 1/2 lb lb lb 2 lbs lb

lb

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Beans/Grains/Pasta
Barley Beans-Adzuki R Beans-Black Turtle Beans-Fava R Beans-Cranberry R Beans-Garbanzo R Beans-Great Northern Beans-Lima Beans-Navy R Beans-French Lentils Beans-Red Lentils Beans-Green Lentils R Beans-Sm Red, Organic Bulgar Wheat Cereal - 4-Grain Flakes R Cereal-Cream of Wheat Falafel Mix R Millet Oat Bran Oat Bran Oat Groats R Peas-Black-Eyed, Organic Peas-Green Split, Organic R Quinoa Rice-Basmati, Brown R Rice-Long Grain, Brown R Rice-Short Grain, Brown Rolled Oats, Thick Rolled Oats, Quick R Sesame Oatburger Mix TVP Chunks TVP Chunks Yellow Corn Grits Yellow Corn Meal R

QTY

PRICE $0.85 $2.75 $1.85 $1.85 $2.35 $2.90 $1.65 $2.50 $2.20 $2.80 $2.25 $1.65 $1.80 $1.00 $1.10 $1.50 $1.95 $1.00 $1.95 $3.85 $0.70 $2.45 $1.45 $3.25 $1.55 $1.40 $1.55 $0.85 $1.10 $2.45 $1.40 $2.75 $1.00 $0.80

Fruit Fast Fruit Concentrates

Blueberry Cherry Cherry Pomegranate Pomegranate Red Raspberry Cranberry Grape

PRICE $15.33 $12.60 $21.30 $12.53 $20.93 $53.13 $15.33 $9.95

UNIT
pt pt qt pt qt qt pt qt

TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Juice/Teas/Beverages
Organic Apple Cider 1/2 gal Mango Passion Tea Peppermint Tea R Strawberry Pomegranate Tea R Hisbiscus Flowers Tea R Yerba Mate Tea R

$4.35 $2.95 $2.95 $2.95 $1.75 $1.75

ea 20 ct 20 ct 20 ct 3oz 3oz

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

lb lb lb lb lb lb lb
lb

CUSTOM ORDER Spices/Baking Spices/Seasonings (Various) Baking Powder (Aluminum-Free) R Baking Powder (Aluminum-Free) CUSTOM ORDER QTY

lb 2 lbs lb lb

$1.00 $2.75 $1.00

1 oz 3 oz 1 oz

$0.00 $0.00 $0.00

Healthy Food Hub

healthyfoodhub@gmail.com
QTY

p. 773.369.7400 or 773.410.3446
Other
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Imani's Original Bean Pie (original) Imani's Original Bean Pie (cream) Imani's Original Bean Pie (agave) Imani's Original Bean Pie Imani's Original Bean Pie (xxxxx) Imani's Original Bean Pie (xxxxx) Cindy's Organic Balsamic Vinegarette Seeds

Nuts/Nut Butters/Dried Fruit

Almonds Apple Rings Brazil Nuts R Cashews Cherries R Coconut Chips R Dates Mango Chunks R Papaya Chunks R Peanut Butter R Peanuts Pecan Meal Pecans R Pineapple Dices R Popcorn, Yellow R Raisins Raisins Raisins-Golden Sunflower Seeds-Raw, Organic Walnuts

$2.35 $4.90 $4.50 $4.90 $3.85 $2.30 $1.89 $3.35 $1.65 $2.90 $2.00 $3.45 $2.60 $1.65 $1.35 $1.15 $2.30 $1.45 $0.80 $3.00

1/2 lb 1/2 lb 1/2 lb 1/2 lb 1/2 lb 1/2lb 1/2 lb 1/2 lb 1/2 lb lb lb lb 1/2 lb 1/2 lb lb 1/2 lb lb 1/2 lb 1/2 lb 1/2 lb

$8.00 $10.00 $10.00 $5.00

9 in 9 in 9 in 6 in

$6.25 $2.75

16 oz packet

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Sweeteners
Agave Nectar R Evaporated Cane Juice (Organic Sugar)

$3.60 $1.20

23.5 oz lb

$0.00 $0.00

Eggs/Dairy
Farm Fresh Eggs (Local/No Hormones) add item Annual Membership & Renewal

$4.15

doz

$0.00

$25.00 Column 1 TOTAL

$0.00 $0.00 $0.00 $0.00

Column 2 TOTAL

$0.00

Bring your own bags and containers. Order Total

Make checks payable to: Healthy Food Hub

Column 1 & 2 total Discount total GRAND TOTAL Member discount Pre-Order discount

NOTE: ALL PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE

$0.00 R= Restock Item please pre pay to bring desired item back into inventory $0.00 $0.00

MEMBER ? (Y or N) Y PRE-ORDER ? Y