MARIN SUN FARMSMEAT CSA SIGN UP SHEETPlease print this form, fill it out, then mail it with payment information or check to Marin Sun Farms , P.O. Box 1136 , Point Reyes Station , California 94956 . If you have any questions, call us at 415-663-8997 or email us at david@marinsunfarms.com . We will email a confirmation and delivery schedule when we process your application. |
||
Contact Information |
||
Name:________________________________________________________ |
||
Address:______________________________________________________ |
||
| City:__________________________ |
State:___________ |
ZIP Code:_____ |
Day Phone:____________________________________________________ |
||
Evening Phone:_________________________________________________ |
||
| Email Address:_________________________________________________ |
||
Payment |
||
__ Visa _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
expiration date _ _ / _ _ V-code: _ _ _ __ Master Card _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
expiration date _ _ / _ _ V-code: _ _ _ __ Check
**Please note there will be a processing fee of 3% for all credit card charges** The ‘V-code’ is the last 3 digits located on the back of your card. |
||
| Species Exemption - you may choose to eliminate one of the following species | ||
| ___ Pork __ Goat | ||
Check your Pick Up Location |
||
__ Point Reyes ___ Palo Alto - Clark Way __ Berkeley - Three Stone __ San Fran - Folsom __ San Fran - Polarica __ Oakland - Waterhouse |
||
| Package Selection for 6 Month Subscription: | ||
| __ Pack #1 __ Pack #2 __ Pack #3 __ Pack #4 __ Steak Pack | ||
Marin Sun Farms 10905 Highway One P.O. Box 1136 Point Reyes Station , CA 94956 T: 415.663.8997 F: 415.663.8987 david@marinsunfarms.com
|
||