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RIVERDOG FARM

GUINDA CALIFORNIA

Order Form

Please fill out the form below and select a general site location that is convenient for you. Once we receive your on-line application form, a farm representative will contact you to give you the specific delivery location address.

First Name

Last Name

Address

City

Postal Code

Phone Number

Email Address

Check box if you would like to be on our mailing list

First Delivery Date

Please select the the preferred delivery site below.

Wednesday Delivery

Thursday Delivery

Friday Delivery

How did you hear about us

Submit To Riverdog Farm Reset

Payment Information

Each veggie box delivery is $16. Payments can be made on a monthly or quarterly basis and are due the first week of either term. To make appropriate monthly payments, count the number of delivery days in a month and multiply by $16 per delivery day.

Monthly Subscription Payments: $64 or $80 depending on number of deliveries

Quarterly Subscription $192
for the 1st and 4th quarters of 2008" and "$208 for the 2nd and 3rd quarters
of 2008"

$192 for the 4th quarter of 2008

We accept checks and money orders. Do not send cash. Make checks payable to Riverdog Farm and mail payments to:

         Riverdog Farm
         P.O. Box 42
         Guinda, CA 95637

Click Here for a download PDF version of this form.