Full Belly Farm
East Bay CSA Sign Up Form

Please print out this form, fill it out, then mail it with your check to Full Belly Farm, P.O. Box 220, Guinda, CA 95637. If you would like to pay by credit card, or if you have any questions, call us at 800-791-2110 or e-mail your questions to us at csa@fullbellyfarm.com. Do not try to fill out this form online—it won't happen! Deliveries are made to the East Bay on Tuesdays, Wednesdays, and Fridays. Members pay in advance for either one month, three months, or one year. If you want to pay monthly, send $72 to start ($18 x 4 weeks). If you want to pay quarterly, send $214.50 to start ($16.50 x 13 weeks). With home delivery, add $7 per week, or pay $100 for 4 weeks ($25 x 4 weeks), $305.50 for 13 weeks ($23.50 x 13 weeks). You can also request every other week deliveries, however, you still need to pay for 13 boxes to get the quarterly discount rate. We will e-mail a confirmation and orientation packet when we process your application. The start date is usually two weeks from postmark date. For more details, go to Join Our CSA and Members' Info.

CHECK ONE: Every Week Deliveries____________________ Every Other Week Deliveries____________________($72 minimum)
Name:
Street Address:
Cross Street (Home or Office Delivery Only):
City/State/Zip:
Phone:
E-mail:
Check or circle your neighborhood delivery site. Or indicate if you want home or office delivery.
Tuesday, 62nd near Colby in North Oakland, Noon-7PM
Tuesday, Berkeley Farmers Market at Derby & Martin Luther King Jr. Way, 12:30-6PM in winter, 7PM in summer
Tuesday, Oakland City Center, Franklin St. by 12th & Broadway, 12:00-4:00pm
Tuesday, Ashby near Claremont in Berkeley, 12:30-8PM April-Sept, 12:30-7 Oct-March
Tuesday, Tapscott Avenue in El Cerrito, 2-4PM (seasonal October-June)
Wednesday, Bella Vista near 13th Avenue in Oakland, 11AM-8PM
Wednesday, Vernon near Oakland Avenue in Oakland, 1-8PM
Wednesday, Oakland/Piedmont, Lake Avenue near Beach School, Noon to 6PM
Note: BOXES AT THIS SITE COST $23. $5/box is a fundraiser for Beach School
Wednesday, 61st near Colby in North Oakland, 1-8PM
Wednesday, San Pablo near Dwight in West Berkeley, 1-6PM
Wednesday, Virginia near Milvia in North Berkeley, 1:30-5:30PM; til 7PM in summer
Wednesday, Whittle Avenue (by Fruitvale Ave) in Oakland Dimond District, 11-9PM
Friday, Cornell near Gilman in Albany, 10AM-8PM
Friday, Washington Ave near Curtis in Albany, 10:30AM-8PM
Friday, Gilbert between Broadway and Piedmont Aves in Oakland, 8AM-7PM
Friday, Broadway Terrace and Clarewood in Oakland, 8AM-7PM
Friday, 41st Street between Webster and Telegraph in Oakland, 9AM-7:30PM
Friday, Manila and Elm off San Pablo, in El Cerrito, 10:30AM-7PM (Wait list only)
Friday, University Terrace, Jefferson Avenue by Allston in Berkeley, 4-9PM
Friday, Doyle Street near 59th, Emeryville, 11AM-7PM
Friday, Bancroft Way in Berkeley, 8:30AM-6PM
Friday, Junction Ave (by Cutting Blvd) El Cerrito, 11030AM-8PM
Home or Office Delivery: Available on Tuesdays and Wednesdays in selected East Bay locations for an additional $7 per week. Tuesday home or office deliveries: Emeryville, Oakland, Piedmont, Alameda. Tuesday and Wednesday home or office deliveries: Berkeley, Kensington, Albany, El Cerrito. You do not have to be home for the delivery. Before ordering home or office delivery, please email us with your street address, including cross-street, so we can confirm that your location is on our delivery route.
©2008 Full Belly Farm