2010 Doylestown Food Club Registration

Thank you for your interest in becoming a member of Doylestown Food Club. Doylestown Food Club customers and producers are interested in local foods and products produced with sustainable practices that demonstrate good stewardship of the environment. To become a member, please read the Terms of Service, and then complete the following information and click submit.

If you are already a member, please sign in here. Otherwise fill out the form below to apply for membership.

Please note that membership is currently maxed out. Your application will be kept in a waiting list. DO NOT SEND PAYMENT. New members will be contacted on a first come, first served basis when new openings appear.

Section 1: General Information
First Name: Last Name: First Name 2: Last Name 2:
Business Name:
Section 2: Contact Information
Address: Address 2: City/State/Zip:   County: Do Not Send Postal Mail:
Work Address: Work Address 2: City/State/Zip:
Home Phone: Work Phone: Mobile Phone: FAX: Toll Free:
Email Address: Email Address 2: Home Page: http://
Section 3: Access Credentials
Username: Enter the word Human validation text Password: Confirm:
Section 4: Membership Type
Membership Type: Choose One Regular Member Producer Regular Member A regular membership costs $100.00 per year. Producer FOR PRODUCERS ONLY. There is no charge to join, but you can't place orders through this account.
Section 5: Additional Information
How you heard about Doylestown Food Club: Choose One Newspaper article Magazine Online Friend or Family Flyer or Booth Other Please give more detail: What website, from whom, which publication/date, etc.?
YES! I‘m interested in volunteering to help Doylestown Food Club.
I acknowledge that I have read and understand the Doylestown Food Club Terms of Service statement.
I am interested in becoming a producer member for Doylestown Food Club.

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Doylestown Food Club
For information on scheduled pickups, meetings and
other events, please visit our Meetup.com group.

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