thank you for your interest in julian of norwich farm

Pre-paid Farmstand credit Form

Fill out the form below to purchase your 5% off pre-paid credit!

Payment Methods:

Online Checkout. Submit this form first, then you will be directed to our online checkout where you can pay by credit card. There is a 4% convenience fee for online payment charged by the payment processor.
By Mail. Submit this form online, then mail your payment to: 23150 Roosevelt Road, South Bend, IN 46614.

Name

First Name

Last Name

Street Address

City, State / Zip Code

Phone Number

(###)

###

####

Email Address

If you wish, please let us know why you are choosing to purchase Farmstand Credit.

If you are a new member, would you share how you heard about us?

How Much Credit Would You Like to Purchase?

Redeemable at any of our market stands for any of our products. 5% in bonus credit at any level. $300 minimum.

$300 ($315 credit)

$350 ($367.50)

$400 ($420)

$450 ($472.50)

$500 ($525)

Payment Options

Please choose only one option. Minimum payment of $300.

Online via Credit Card (You will be directed to checkout after submitting your form. There is a 4% convenience fee for online payment charged by the payment processor).

By Mail (Please submit your payment to: Julian of Norwich Farm, 23150 Roosevelt Road South Bend, IN 46614)

2020 Farmstand Credit Sign-up

thank you for your interest in julian of norwich farm

Pre-paid Farmstand credit Form