Strom's Farm - Our Products - Corn Reservations

Online Reservations

This is NOT a mail-order form! Orders made on this form must be picked up in person. This form is only an alternative to calling in your order by telephone.

Orders needed for 6 dozen or more.

Please note that no orders will be considered to have been placed until confirmation is received by the customer from Strom's Farm.

Type what you see in the above image (req'd)

First name (req'd)

Last name (req'd)

Home Phone

Work Phone

Organization
(if applicable)

E-mail
(req'd)

The following items are available for rent:

Corn Boiler (includes: Pot, Basket, Burner)

20 lb. Propane Tank

Please provide the following ordering information:

QTY	DESCRIPTION
	Dozen Sweet Corn
	Corn Boiler Unit
	20 lb. Propane Tank

Enter the date and time of proposed pick-up:

-Month -Date

-Time

Feel free to give us your comments in the space provided below.