Formato Solicitud Golden Pot

Please fill out your order form before 3:00pm. Make sure that your order is sent with La Cosecha Food Services' truck , and be sure to find out the truck route schedule to be aware of when to send your order in.

If you have any trouble submitting it, please call Bernardo Mejia at 770- 317-7459 or Norma Hernandez at 678-354-2700, and if you need to make any changes DO NOT submit it twice. Please call them during the business hours between 8:00am until 5:00pm.

Manager's Name Manager's Name * First Last
Date Date * / MM / DD YYYY
Store Location *
Order: *
Comments: *

Order:
* First - Type the name of the item you would like to order as it appears on the inventory list that we provided.
* Second - Type Quantity

For Example:
* Item: Cuchara para sopa / Quantity: 2
* Item: Charola 13X18 / Quantity: 1

Please always type the item's name as shown from the inventory list.
Upload a File

Attach Files
Store confirmation

Please confirm and type your store location
Parrilla # *
For LC Food Distributor Use ONLY
Date:
Number of Boxes Delivered:
Received by - Name:
Signature:

Formato Solicitud Golden Pot

Formato Solicitud Golden Pot

Store confirmation

For LC Food Distributor Use ONLY

Date:

Number of Boxes Delivered:

Received by - Name:

Signature: