PHF Farm to Door Application
Farm Name
Farm Name
*
Email address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Products Offered
*
Flowers
Vegetables (Conventional)
Vegetables (Organic)
Beef (Grass-Finished)
Beef (Grain-Finished)
Pork
Chicken
Turkey
Duck
Chicken Eggs
Duck Eggs
Lamb
Goat
Honey
Bread & Baked Goods
Other
Conventional Feed or Non-GMO Feed (if applicable)
Please Select
Conventional Feed
Non-GMO Feed
Describe your farming methods (e.g., organic, non-GMO, pasture-raised, conventional). This will be featured on our website.
*
How often can you supply products?
*
Please Select
Weekly
Bi-Weekly
Monthly
Seasonal
Please Note Seasonal Dates
Are any of your products highly perishable (requiring short order windows) or frozen (requiring storage)? Please explain.
*
Provide an estimated retail price range for each product you’d like to offer. (Note: You set the price; PHF takes a 30% commission.)
Are you comfortable receiving order quantities two days before delivery?
*
Please Select
Yes
No (specify preferred lead time below)
Preferred Lead Time
If offering frozen products (e.g., beef, pork), would you like PHF to store and track your inventory in our freezer space?
*
Yes
No (I will manage my own frozen inventory)
Agreement Acknowledgement
By submitting this application, I understand that: Passel Hills Farm will review my application and contact me to discuss next steps. If selected, I will set my product prices, and PHF will retain a 30% commission per sale for marketing, sales, and delivery services. There are no upfront costs to join this partnership.
*
Yes
Signature
*
Date/Time
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