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Visalia Chamber of Commerce 2008 AgriBusiness of the Year

Sign Up Today, and Eat Well From Now On!

Please complete this form and click submit.
(Note: You must have javascript enabled to use this form. If you prefer not to, please click here to download the form and submit it by mail.)

Your membership is not complete until you receive a confirmation from us. Thank you.

First & Last Name* :

Delivery Address*:

City*:

State:

CA (only)

Zip*:

Delivery Address Is*:

Home Office Other

Directions (if hard to find)

Mailing Address
(if different)

Home Phone*:

Work Phone*:

Cell Phone:

email *:

Delivery Options*:

Weekly Every Other Week

Will Someone be present for delivery?*

Yes No

If no one will be home, provide specific instructions:

Leave the basket:

Take into account animals which might get into your basket.

Choose Your Basket Size*: (minimum of 4 weeks for initial sign-up)

Mini Basket	4 weeks @ $19.75	79.00
Light Basket	4 weeks @ $29.75	119.00
Family Basket	4 weeks @ $37	148.00
Large Family Basket	4 weeks @ $47	188.00
	Delivery Package Total for 4 weeks:

Choose Your Delivery Area*: (based on location, shown per week)

Area One	Cities of: Visalia, Tulare, Ivanhoe, Woodlake, Exeter, Lemon Cove, Porterville, Lindsay, Elderwood, Pixley, Strathmore, & Farmersville	1.25
Area Two	Cities of: Cutler, Hanford, Lemoore, Orosi, Three Rivers, Springville, Dinuba, & Kingsburg	2.00
	Delivery total for first 4 weeks:

One Time Membership Fee for New Members

25.00

»Your Total Minimum Amount Due: (Package+Delivery+Membership)

»To display totals, Javascript must be enabled on your computer.
Otherwise, please add your basket costs and area delivery fees for four weeks,
plus one time membership fee, and submit payment for the total.

* Agree to terms I agree to send this minimum or more to begin my new membership.*

(Payment may be mailed by check, paid online, or paid by phone using Visa, Mastercard, Discover, or American Express.)

Prepayment Options Offer Substantial Savings:

Prepayments of $250-499 receive a 5% credit
Prepayments of $500-999 receive a 7% credit
Prepayments of $1,000 or more will receive a 10% credit

*Important Information:

Your money goes directly to a family farm. Every dollar of your share goes directly to the farm. A similar purchase at a supermarket may return a farmer as little as 20 cents on the dollar. By Participating in our CSA you are supporting the farm’s year-round employees who are able to be paid steady and reasonable wages. Your financial support is a vote for family-based farms as the backbone of our agricultural production system.

Every week you will receive, along with your delivery, a statement of your account. This will include a listing of your current order, amount due for the week, and your account balance.

How did you hear
about us?

Home

Community Supported Agriculture:

Member Services :

Helpful Links

Email Us

Sign Up Today, and Eat Well From Now On!

Leave the basket:

Take into account animals which might get into your basket.

»To display totals, Javascript must be enabled on your computer.
Otherwise, please add your basket costs and area delivery fees for four weeks,
plus one time membership fee, and submit payment for the total.

*Required

Home

Community Supported Agriculture:

Member Services :

Helpful Links

Email Us

Sign Up Today, and Eat Well From Now On!

Leave the basket: Take into account animals which might get into your basket.

»To display totals, Javascript must be enabled on your computer. Otherwise, please add your basket costs and area delivery fees for four weeks, plus one time membership fee, and submit payment for the total.

*Required

Leave the basket:

Take into account animals which might get into your basket.

»To display totals, Javascript must be enabled on your computer.
Otherwise, please add your basket costs and area delivery fees for four weeks,
plus one time membership fee, and submit payment for the total.