Five Acre Community Farm Vegetable Share Enquiry

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Please complete your details below and we will be in touch as soon as possible.

We suggest new members have a four-week trial before becoming full members. Full details will be given when we contact you.

If you provide your address below we will have all the information we need to set you up as a share member but if you still have questions at this stage this is optional.

Full name *

Address

Post Code (so that we have an idea which area you are from) *

Phone number *

Email address *

The best time to contact me is.. (tick all that apply) *

Mornings

Afternoons

Evenings

Weekends

Required

I am interested in... *

a small share (£38 per month inc £2 membership), suggested for a single person or if you are supplementing with home grown etc

a medium share (£51.50 per month inc £2 membership), suggested for a couple of small family

a large share (£82.50 per month inc £2 membership), suggested for a large family or those who eat a lot of veg

I would like to collect my vegetables (weekly)...
*

from Five Acre Community Farm on Tues (1.30pm - 7pm)

from Five Acre Community Farm on Saturday (9am - 2pm)

as part of a collection group (if possible) - a group of people who share collections

from Wild and Free in Rugby on Wednesday (additional £5 charge per month)

from Wild and Free in Rugby on Saturday (additional £5 charge per month)

I am unsure and would like to discuss before deciding

I would like my membership to start...
*

as soon as possible

at a later date, please contact me to discuss

How did you hear about us?
*

I saw you at an event in Coventry

I saw you at an event in Rugby

I saw you at an event in Kenilworth

A friend

A Five Acre Community Farm leaflet

I work at Coventry University at Ryton Gardens

Internet search (e.g. Google)

Other:

Required

If you have any questions or comments please enter them below.

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