Valley End Farm Sign Up

Lettuce get started! Sign up now and receive your seasonal produce assortment from Valley End Farm.

Submit your completed form below and mail check or money order to:

6300 Petaluma Hill Road
Santa Rosa, CA 95404

Name	*
Address City, Zip	*
Primary Phone	*
Secondary Phone	*
Email	*
Subscribe for Newsletter	Optional but keeps you up to date

Please select one option from each category:

	Box Size *
Small Box (4 weeks trial, $60)	Medium Box (4 weeks trial, $80)	Large Box (4 weeks trial, $100)
	Farm Pick Up Time *
Tuesday (3:00 - 7:00 PM)	or	Saturday (1:00 - 6:00 PM)

After we receive your registration form, you will be contacted to begin service.

    Note- For delivery or bi-weekly just write next to your name