Share your opinion and be rewarded! North Farm Cooperative Retail Price List Subscription Request
North Farm Cooperative
Price List Subscription Request
Subscribe to the Price List
* Save money over ordering it
* Receive it sooner
* Receive interim publication
Please complete one form for each Price List subscription.  Mail or fax your request with method of payment to:  Subscriptions, North Farm Cooperative, P.O. Box 14440, Madison, WI  53714
Toll-Free Fax: 1-888-632-3276        Local Fax: 1-608-241-0688

Customer Name: __________________________  Customer Number: ______________
Your Name: ____________________________________________________________
Mailing Address: ________________________________________________________
City/State/ZIP: __________________________________________________________
Your Daytime Phone: (___) ________________________________________________
Today's Date: __________________________

Length of Subscription
 (check one):

____One year of Price List (6 issues)
____ # of years (if more than one)
 
(also receive 6 issues of interim publication)

This is a (check one):
q Renewal
q New Subscription
q Address Change

Type (check one):

q Buying Club q Retail
Type of Subscription (check one):
__1st Class ($18/yr) received within 1-3 days
__Standard A ($9/yr) may take up to 2
     weeks or more
Circle Issue to Begin:
Jan/Feb July/Aug
Mar/Apr Sept/Oct
May/Jun Nov/Dec
Note: To receive an issue past the renewal date, please include an additional $4.50 for postage.

Method of Payment (check one):

q Check      q Money Order     q Bill on invoice
Signature:_______________________________
Send the current issue of the Price List:
     Yes _____   No_____
Renew subscription automatically:
      Yes _____   No_____

                           Please inform North Farm of your new address when you move.
NOTE: 
Price Lists are mailed at least four weeks prior to the effective month.  There are six bimonthly issues in a one-year subscription.  A renewal reminder will appear on your mailing label two issues prior to expiration.  Please be sure to renew your subscription early to avoid a lapse in service.  If you have any questions, please call 1-800-236-5880 or 1-608-241-2667 and ask for "Subscriptions".  Please contact us if you would like to cancel or transfer a subscription.  Refunds are not given.

ISSUE/RENEWAL DEADLINES:
To receive                                         Renew/Subscribe by
January/February issue..................................November 5  
March/April issue..............................................January 5
May/June issue..................................................March 5
July/August issue............................................... ..May 5
September/October issue.......................................July 5
November/December issue...........................September 5

OFFICE USE:


updated 9/4/01