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 San Rafael on Thursdays. 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.