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Peninsula Sign Up Form
 
Please fill out all information to ensure prompt processing.
1) Personal Information
First Name:
Last Name:
Address:
City:
Zip Code:
Phone:
E-Mail:
How did you hear about us?
2) Pick-up Options
To protect the privacy of our hosts, the exact street address for some locations are not published on the web. Complete information will be provided
in an email upon signup. Thank you!
Wednesday Delivery
Friday Delivery
S. San Francisco, Kent Way after 3pm
Menlo Park, 721 University Dr. after 3pm
San Mateo- 623 Maple Street, after 3pm
Redwood City- Oxford St, after 3pm
Brisbane, Walmart.com Employees Only
San Mateo- Shoal Drive, after 3pm
San Bruno, Geoffrey Drive (near Skyline Blvd)
Belmont- Ruth Ave, after 3pm
Thursday Delivery
Pacifica, Lerida Way, between 3pm & 8pm
San Carlos- Cedar Street, after 3pm
S. San Francisco, Urban Sprouts day
School,
Staff and Parents Only
Burlingame, Crossway Road, after 3pm
Millbrae- Hazel Ave, after 3pm
Foster City, Peninsula Sinai
Congregation
Staff and Members Only
Redwood City- Congregation Beth Jacob employees and members only
3) Packing Options
I will recycle my paper bag on a weekly basis and donate
any extra bags during the season.
*Please return your bags to us by leaving it at your pick up spot the
next time you pick up your order *
4) Bag Options
Extra Small (6 Items, $18.00 per week)
Small Bag (8 Items, $24 per week)
Medium Bag (12 Items, $36 per week)
Large Bag (16 Items, $48 per week)
5) Payment Plans
Seasonal Payment
(Summer Season)
Xsmall: $209.52
Small: $279.36
Medium: $419.04
Large: $558.72
Includes 3% discount
price will be prorated to start in September
Monthly Payment
(due by 5th of every month)
(deliveries will start in
September)
Annual Payment
Extra Small: $743.04
Small: $990.72
Medium: $1486.08
Large: $1981.44

Includes 4% discount
price will be prorated to start in September
4-week trial
(deliveries will
start in September)
6) Eggs
Weekly Egg Option
Bi-Weekly Egg Option
($4.50 per dozen eggs)
($4.50 per dozen eggs)
7) Extra Strawberry Option
I would like to sign up for the extra strawberry option. (This gives you 3, 1 pint clamshells for $7.50 per week).
8) Produce Options
I will place my order on the website
each week to have my order prepacked.
Please choose my produce for me each week.
9) Payment Options
*An initial payment is due upon sign up. We will e-mail you a quote.*

*Payments are
due by the 5th of the month.*
I would like you to charge my credit card
automatically.
Please call us with your credit card
number
after you have received a sign up confirmation.
10) Agreement
I agree to Eating with the Seasons terms and conditions. By clicking this you agree to
all terms and agreements listed in our policy which are subject to change at any time.
To read the policy,
click here.
Message (optional):
Please send payments to:

Eating with the Seasons, LLC
PO Box 1498, San Juan Bautista CA 95045
Ph: 831.245.8125  F: 415. 520.6063
Office Hours: Monday-Friday 9am - 5pm, Saturday & Sunday:
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