Gourmet Produce Box
Community Supported Agriculture



Name ______________________________________________________________


Address ____________________________________________________________



Phone Cell _______________________ Phone Message _______________


E-mail ____________________________________________________________


Pickup Location: 

Downtown:  Citizen Hotel-Grange Restaurant, 

Hot Italian,  Lucas, Waterboy, Mulvaneys, One Speed

Land Park:  Taylors Market 

East Sacramento:  One Speed, Roxys 

West Sacramento:  Les Schwab, Ranch 

Davis:  El Macero, Fasulos  

Charmichael:  Oak CafĂ© (ARC) El Camino Gardens 

Roseville:  Institute of Technology, Karens Bakery 

Placerville:  Sequoia

Tahoe/Truckee   New Moon Tahoe City, New Moon Truckee, 

Soule Domaine Restaurant, Ritz Carleton


New location ____________________


What day of the week would you like to pickup T, W, TH, F, Sat

Start Date ___________________ Quarter Rate _________________

Prorate if diff than Qtr ___________

Check Enclosed _________

Visa Master Card Discover

Name on Card ________________________________

To protect your card, we will call you for the number. 

Or you may call Suzanne at 916.919.1843