Shalom Farms, Inc. · On-Farm Payment Form

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Amount

This is a payment for

Merchandise - T-shirts, Tote Bags, Jam, Pizza Sauce, etc.

Field Trip

Farm Tour

Something Else

Please list items and the quantity purchased

Please tell us what you are paying for

Group Name

Number of students/chaperones covered by this donation

Group Name

Your Name

First Name

Last Name

Your Email

We'll send a receipt for your purchase to this email address. Please note, purchases are not considered tax deductible.

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Your donations make our work possible - thank you!

Shalom Farms is a 501(c)3 nonprofit organization. Donations from supporters like you make our food access, education, and advocacy work possible. Thank you! You will recieve a reciept for your tax deductible donation - keep an eye on your inbox.

Additional Donation

Add 3% to my total amount to help cover the payment processing fees