Order Your Local Box Today 2024 Local Box Manitowoc County: Order Form Billing Info First Name * First Last Name * Last 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 Phone * Email * How did you hear about Local Box Manitowoc County? Friend / Family Member Radio Social Media (Facebook, Instagram, etc.) OtherOther This box contains alcohol. Are you over 21 years old? * Yes No Sorry, you are unable to purchase our Local Box Manitowoc County. Order Quantity (price is $80 per box) * Preferred Payment Method * Credit Card Check/Cash Important If you select "credit card" as your payment option, you will be re-directed to another site (Square) to make your payment after submitting this form. NOTE: You will need to enter in the quantity again. If you select "Check/Cash" please mail payment to the address below. Box Pick-up Details Boxes will need to be picked up from the Progress Lakeshore office in November. If you are unable to pick up on the dates/time listed below please contact the office at 920.482.0540 or email us at info@progresslakeshore.org. Pick-up Dates/TimesFriday, November 22: 7:30am to 4:00pmMonday, November 25: 7:30am to 5:00pmTuesday, November 26: 7:30am to 5:00pm Pick-up LocationProgress Lakeshore202 N 8th Street, Suite 101Manitowoc, WI 54220 Your order is only complete once payment is received! I agree to pickup dates and times * I agree Submit Order If you are human, leave this field blank.
