Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your estimated weekly number of 10 stem bunches you hope to be selling with SJFC? *

1-20 bunches

20-50 bunches

50 of more bunches

Unsure

How often do you anticipate selling with the Collective? *

Every week!

Now and then when I have extra product

I would like to focus on one specialty crop through the Collective