Your contact information:
Last name: First name:
Address:
Email address:
Additional Email
Telephone number:
Select your pick-up location, duration and share type.
Share Length	3 month - $255 6 month - $500 12 month - $975
Pick Up	Every Month Every Other Month
Share Type	Regular No Beef No Pork No Chicken
Pick up Location	Logan Square Oak Park Naperville Beverly Lincoln Square Evanston On-Farm
Select your payment option
	Mail Check to 1985 N 3609th Rd Ottawa, IL 61350 Visa/Mastercard - call 815-431-9544 ($6 additional processing charge)
	How did you hear about us? localharvest.org eatwild.com Internet search Personal Reference Other