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Name
Street Address
Address (cont.)
City
Postal Code
Home Phone
E-mail

Pick-up Location (please choose one):

Wicklow Way Farm, Grafton/Colborne, Saturdays 10 am to 12 noon
Port Hope Saturday Farmers Market, Port Hope, 8 am to 12 noon
Leaside, 235 McRae Drive, Toronto, Thursdays 4 pm to 7 pm
Leslieville/Beaches, 1928 Gerrard St E (at Woodbine), Toronto, Thursday afternoon
North Leaside @ Nancy Henderson, 20 Beaufield, Toronto, Thursday afternoon
Rathnelly @ Esther Shipman, 223 Cottingham St, Toronto, Thursday afternoon
Wicklow Way Farm, Grafton/Colborne, Thursdays 4 pm to 7 pm

Payment option (please choose one):

$100 deposit with post-dated cheque of $450 (dated May 1st)

$550 full payment 

Please make cheque(s) payable to "Wicklow Way Farm". Mail to:

Elaina Asselin

Wicklow Way Farm

188 Lakeport Road

Colborne, ON  K0K 1S0

 

Could you help us and let us know how you found out about us?

    I've known of you for years

    I found you on the internet

    Northumberland Farm Gate Guide

    I saw you at a Fair or other Event

    I saw an advertisement

    I was referred to you by a friend and their name is:   

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