Farmer Mai Winter 2021 Grain Share
Please complete by 8PM, Friday, Nov 12
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which site would you like to pick-up from?
*
Please Select
Santa Rosa - Miracle Plum (Third Thurs-Sun)
Sebastopol - Permaculture Skills Center (Third Thurs)
Petaluma - Home (Third Thurs)
What is your preferred payment method?
Please Select
PayPal
Venmo
Only PayPal and Venmo can be accepted at this time.
What is your PayPal or Venmo address/handle?
Please provide the address/handle associated with your preferred payment method. You will receive a request for a one-time payment of $150.00 to secure your share.
If Share spots are full, would you like to be (check all that apply):
*
added to the waitlist for Winter 2021 Shares?
informed when Winter 2022 Shares registration opens?
notified about a la carte flour availability at either pick-up site?
Do you have any questions or comments about the Grain Share?
Thank you for your interest in a Grain Share.
Shares will be filled in order of registration date. You will receive a confirmation email that will request payment by PayPal or Venmo. If payment ($200) is not received by Monday, November 15 at 8 PM your spot will be offered to a waitlisted applicant. Only one share per person/family.
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