To enroll as a Worden Farm member, simply complete this form
Please use the tab key or mouse to advance through the form.
Using the "enter" key will cause the form to be submitted before completion.

If you have questions about membership, or if you would like to enroll by phone,
please call us at (941) 637-4874
1) Member Information
Member Name
Street Address
City, State, ZIP
E-mail address
Telephone
Please check here if renewing from last season
2) Membership Type Choose one
On-farm Market-Style: $600
Market-Style at Worden Farm: Wednesdays 2-6pm
Farmers Market Credit: $600 - Please indicate primary market you will attend
Downtown Sarasota Farmers Market - Saturdays, 7am-12pm
Saturday Morning Market in Dowtown St. Petersburg - Saturdays, 9am-2pm
North Naples Green Market - Saturdays, 8am-2pm
Sanibel Farmers Market - Sundays, 8am-1pm
Classic Box Delivery: $600 + $60 delivery = $660
Punta Gorda: Aqui Esta & US41, Wednesdays, 2-7pm
Port Charlotte 1: Kings Hwy & I-75, Wednesdays, 3-6pm
Port Charlotte 2: US41 near W. Tarpon Blvd, Wednesdays, 3-5pm
Nokomis: Laurel Rd & I-75, Wednesdays, 4-7pm
Venice: W. Venice Ave, Island Plaza, Wednesdays, 4-6pm
Cape Coral: Del Prado near 17th St, Thursdays, 2-6pm
Pine Island: St. James City, Thursdays 3-6pm
Fort Myers 1: Summerlin & Colonial, Thursdays, 2:30-6pm
Fort Myers 2: McGregor & Gladiolus, Thursdays, 3-6pm
Fort Myers 3: Daniels Rd, west of I-75, Thursdays, 4-6pm
Fort Myers 4: Gulf Coast Town Center, Thursdays, 5-7pm
3) Payment
Mailing Full Payment  Amounts are above, by membership type headings
Mailing $150 deposit; Balance to be paid in full by October 1
4)
 I would like to enroll as a member of Worden Farm this season. I have read the
membership description (at www.wordenfarm.com/WordenFarmMembership), and
I understand that each week, my harvest share will consist of an assortment of
produce, depending on crop maturity and seasonal availability.
Membership will be secured when payment is received and confirmed by e-mail.
Confirmation and site location details are sent within 1 month of enrollment.
Please call the farm with any questions, at 941-637-4874.

Mail payment to:
Worden Farm, 34900 Bermont Road, Punta Gorda, FL 33982

Thank you for your support of local organic family farming!
MEMBERSHIP FORM    2010 - 2011 SEASON
FARM MEMBERSHIP

Farm Membership
enrollment Deadline is
October 1.
Memberships are
limited; register early.

Click here for a
printable membership
brochure
Or click here for a Word
document format
Have more questions?
Email the farm or call
941-637-4874