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Your registration will only be saved if attached to an order. On recieving your first delivery you will be provided with your customer number for future log in.

Enter your details below to register with Lettuce Deliver...
First Name		Email
Last Name		Password
Business or Building Name		Payment Type	Please Select... Cash or Cheque on Delivery Credit Card
Unit/Apartment/Townhouse Number			If selecting Credit card payment option, do not supply these via the web site, we will contact you to obtain and can keep on file for any future orders placed with Lettuce Deliver.
Street number & street name		Future Contact	Please Select... Send me this order each week without contact Send me this order fortnightly without contact Send me this order monthly without contact Send order each week if I have missed the cut off Send order fortnightly if I have missed cut off Send favourites weekly if I missed the cut off Send favourites fortnightly if I missed cut off Send favourites monthly if I missed the cut off Send me a weekly text message to remind me Call me to remind me to order each Friday Call to take my order over phone each Thursday Fax me the order form weekly Fax me the order form fornightly Dont call me - I'll call you
Suburb		Delivery Instructions [Abbreviations table]
State & Postcode
Nearest Cross St
Best Contact Number		Permanent Order Instructions (eg. Small tomatoes)
Alternate Contact Number
Fax Number