Local Box Test Page Local Box Order Form Product * 2023 Local Box Quantity (if you are ordering more than 6 boxes please contact Nicole at nicole@progresslakeshore.org) * Prefered Payment Method: * Credit Card (PayPal) Check Billing Info Full Name * First Last Name * Last Email * Phone * Address * Address Street Address Street Address Building/Suite/Apartment # Building/Suite/Apartment # City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal How did you hear about Local Box Manitowoc County? * Social Media Email Radio From a Friend OtherOther Total You must agree to pick-up times to continue. * I agree to pick my order up from the Progress Lakeshore office, located at 202 N 8th St., Suite 101, Manitowoc on November 20th 7:30amam-5:30pm, November 21st 7:30am-5:30pm or November 22nd 8:00 am-11:00am. Alternate dates are available upon request. (A reminder email for pick-ups will be sent) Submit If you are human, leave this field blank.
