Full Belly Farm
Sacramento, Davis, Woodland, & Esparto 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 Sacramento, Davis, Woodland, and Esparto on Wednesdays and Saturdays. 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). 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 in Sacramento only.
Wednesday, Wentworth Ave, near Del Rio Blvd in Sacramento, 2-7PM
Wednesday, 46th Street near Folsom Blvd and "M" Streets in Sacramento, 2-7PM
Wednesday, 49th Street near Folsom Blvd in Sacramento, 2-8PM
Wednesday, Lochbrae Road near Del Paso Blvd in Sacramento, 4-7PM
Wednesday, Village Homes in Davis, 3-7PM
Wednesday, Mace Ranch in Davis, 3-7PM
Wednesday, Racho Way near West Street in Woodland, 3-7PM
Wednesday, Main Street in Esparto, 9AM-5PM
Saturday, Harkness Street in old Land Park in Sacramento, 9:30AM to 3PM
Home or Office Delivery: Available on Wednesdays in Sacramento for an additional $7 per week. 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.
©2007 Full Belly Farm