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2019 Winter FARM SHARE SIGN-UP FORM
Winter Farm Share dates are Wednesdays: January 6 and 23, February 6 and 20, and March 6 and 20.
Before you sign up, please be sure you have read and understand the
Farm Share Details
. After registering, you will have a chance to review our member agreement and your invoice before your membership is completed.
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Indicates required field
Name
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First
Last
Name you want on your box
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Email
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Second Email: if you have another person in your household who wants to receive box contents and pickup information
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Phone Number
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May we text information about the farm share to this number?
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Yes
No
CHOOSE YOUR PICKUP SITE
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On Farm: 3662 Lichau Road, Penngrove
North Berkeley: private home, address given upon sign-up
South Berkeley: private home, address given upon sign-up
San Rafael: private home, address given upon sign-up
CHOOSE ADD-ONS
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Pastured Eggs, $8/week
Price of add-ons is based on your box delivery frequency. If you have a full membership but want every-other-week add-ons, please indicate in comments.
PAYMENT METHOD: We will invoice you according to your add-on choices and selected payment method
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Send us a check
Pay online with Venmo (requires you to have an account)
Pay by credit card or Paypal
Additional questions or comments
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Submit
Home/About
Farm Shares/CSA
Photos
Contact
