Full Belly Farm
San Rafael 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 have any questions, call us at 800-791-2110 or e-mail us at csa@fullbellyfarm.com. Do not try to fill out this form online—it won't happen! Deliveries are made to San Rafael on Thursdays. Members pay in advance for either one month, three months, or one year. If you want to pay monthly, send $68 to start ($17 x 4 weeks). If you want to pay quarterly, send $214.50 to start ($16.50 x 13 weeks). 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.

Name:
Street Address:
City/State/Zip:
Phone:
E-mail:
The neighborhood delivery site is:
Thursday, San Rafael Civic Center (Farmers Market), 7:30AM to 12:30PM
©2007 Full Belly Farm