Name * First Name Last Name Email * Cell Phone (for questions pertaining to this order and confirmation via text when order is ready for pickup) * (###) ### #### Please Make Your Selections from the List Below Please note - If selecting "Custom Mix", enter the desired mix in the field following Shiitake • $12/lb. - none (remove) - 1 lb. 2 lb. 3 lb. 4 lb. 5 lb. Blue Oyster • $12/lb. - none (remove) - 1 lb. 2 lb. 3 lb. 4 lb. 5 lb. Yellow Oyster • $13/lb. - none (remove) - 1 lb. 2 lb. 3 lb. 4 lb. 5 lb. Lion's Mane • $13/lb. - none (remove) - 1 lb. 2 lb. 3 lb. 4 lb. 5 lb. Custom Mix • $13/lb. - none (remove) - 1 lb. 2 lb. 3 lb. 4 lb. 5 lb. Custom Mix details If selecting "Custom Mix", please enter the desired ratio/percentage of mushrooms per lb. Planned payment method: * Please pay in Farm Store - cash/check in box or credit card using checkout stand. Thank you! Cash Check Credit Card Orders are packed by Noon on Mondays, Wednesdays, and Fridays. We will send confirmation via text when your order is ready for pickup. Desired Pickup Date * MM DD YYYY Thank you for your order! Please feel free to contact us with any questions: call/text 518-821-4282 email info@rockcitymushrooms.com