To enroll as a Worden Farm member, simply complete this form and mail in payment.
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(s)
Street Address
City, State, ZIP
E-mail address(es)
Telephone
Please check here if renewing from last season
test
2) Membership Type Choose one
On-Farm Market-Style: $600 Regular or $400 Small
Please choose share size
Wednesdays 2:00-6:00 pm
Regular  $600
Small  $400
Farmers Market Credit: $600 Regular or $400 Small
Any remaining credit at season's end is applied to the farm education program fund.
Please choose share size AND the primary market you will attend
Regular  $600
Small  $400
Downtown Sarasota Farmers Market - Saturdays, 7:00 am-12:00 pm
Saturday Morning Market in Dowtown St. Petersburg - Saturdays, 9:00 am-2:00 pm
North Naples Green Market - Saturdays, 8:00 am-1:00 pm
Classic Box Delivery: $600 + $60 delivery = $660
WEDNESDAYS
Punta Gorda: Aqui Esta & US41, 2:00-7:00 pm
Port Charlotte 1: Deep Creek, 5:30-7:30 pm
Port Charlotte 2: US41 near W. Tarpon Blvd, 2:00-5:00 pm
Murdock: Near Town Center Mall, 3:00-5:00 pm
North Port: US 41 & Warm Mineral Springs, 3:00-5:00 pm
Englewood: S. Indiana Ave, near Hosmer Ave, 3:00-5:00 pm
Nokomis: Laurel Rd & I-75, 4:00-7:00 pm
Venice: W. Venice Ave, Island Plaza, 4:00-6:00 pm
THURSDAYS
Cape Coral: Del Prado near 17th St, 2:00-6:00 pm
Pine Island: St. James City, 1:00-6:00 pm
Upper Captiva: Pineland Marina, 1:30pm
Sanibel: Sanibel-Captiva Rd., near Rabbit Rd., 2:00-5:00 pm
Fort Myers 1: Summerlin & Colonial, 2:30-6:00 pm
Fort Myers 2: McGregor & Gladiolus, 3:00-6:00 pm
Fort Myers 3: Daniels Rd, west of I-75, 4:00-6:00 pm
Fort Myers 4: Florida Gulf Coast University, 4:30-7:00 pm
Fort Myers 5: Chico's (For Chico's Headquarters Employees Only), 3:30-5:00 pm
Lehigh Acres: East Lehigh, near Joel Blvd, 3:30-5:30 pm
Fort Myers Shores: Near North River Rd & Hwy 31, 3:00-5:00 pm
North Fort Myers: East of I-7f, off Bayshore Rd., 2:30-5:00 pm
test
3) Payment
Mailing Full Payment  Amounts are above, by membership type headings
Mailing $150 deposit; Balance to be paid in full by October 1
test
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    2011 - 2012 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
test