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Farm-to-Freezer Lifestyle
Our Farms
Life+ Program
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Farm-to-Freezer Lifestyle
Our Farms
Life+ Program
Get Started
Farm-to-Freezer Lifestyle
Our Farms
Life+ Program
Get Started
Menu
Farm-to-Freezer Lifestyle
Our Farms
Life+ Program
Get Started
PRIME WEEK
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New Appointment
DatapikeDesign
2020-04-07T09:03:28-04:00
Schedule New Appointment
New Appointment
How many people do you cook for in your family?
1
2
3
4
5
6
7+
How many adults in the family?
How many children in the family?
Are you eating a variety of foods including Beef, Poultry, Pork, & Seafood?
Eat everything
No beef
No pork
No seafood
How many nights a week?
Select One
1
2
3
4
5
6
7
Where do you grocery shop?
Do you own a separate stand-alone freezer?
Yes
No
Freezer Type
Select One
Upright
Chest
Extra refrigerator/freezer
Freezer Volume
Select One
Empty
1/4 Full
1/2 Full
3/4 Full
Full
Do you rent or own your home?
Rent
Own
Method of Appointment
Select One
In Person - Tasting
Virtual - Contact to Schedule
Virtual - Zoom
Virtual - Skype
Virtual - Phone
Appointment Day of the Week
Select One
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Appointment Date
Appointment Time
Name
First
Last Name
Last
Spouse Name
First
Spouse Last Name
Last
Address
City
State/Province
Maryland
Washington, D.C.
Virginia
West Virginia
Delaware
Pennsylvania
South Carolina
Florida
New York
Pennsylvania
Massachusetts
New Jersey
North Carolina
Georgia
Zip/Postal
Primary Phone
Primary Phone Type: (Select all that apply)
Mr
Ms
Cell
Home
Work
Secondary Phone
Secondary Phone Type: (Select all that apply)
Mr
Ms
Cell
Home
Work
Email
Meat Meal Selection
Select One
Filet Mignon
Ribeye
New York
Other, See Notes
Vegetable Meal Selection
Select One
Green Beans
Corn
Mixed Vegetables
Other, See Notes
Source:
Canvasser (if applicable):
Referrer Name & Number (if a referral):
Assigned Sales Representative (if a referral):
Is this a good time for both you and your spouse?
Yes
No
Credit Discussed During TM Call?
Yes
No
TM Initials
Telemarketer Location:
*
Frederick
South Carolina
King of Prussia
Confirmed During TM Call?
Yes
No
TM Email (for copy)
Secondary Email (for copy)
Please enter any comments or special requests:
If you are human, leave this field blank.
Submit
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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