Shareholder Registration Form

full moon folk medicine

Community Supported Herbalism

By supporting Full Moon Folk Medicine, you are supporting a local small business, local cultivation of herbs and your own well being. THANK YOU for support

Full Name *
Full Name
Address *
Address
Shares may be picked up or delivered for free ( west Sonoma ) or shipped within California for a $10.00 shipping charge per share.
Phone Number *
Phone Number
Seasonal Share *
When you sign up for a year round membership you receive kits at $38-48 (sliding scale) and a complimentary Ayurveda pulse/herbal consultation. In addition to free admittance to two of our workshops that will be held throughout the year.
year round members receive their shares at a discounted rate, $160-$192. sliding scale (based on income /payment options available) Single individual share $45.
$
Payment Type *
* Cash & Check made out to Full Moon Folk Medicine and sent to PO BOX 17 Camp meeker CA 95419 / PAYPAL Madelene McCann fullmooncsh@gmail.com
Disclaimer: In purchasing FMFM CSH share, you do understand the information provided is for informational purposes only and not intended as a substitute for advice from your physician or other health care professional. You should not use the information in this CSH share for self-diagnosis or to replace any prescriptive medication. You should consult with a health care professional before starting any diet, exercise or supplementation program, before taking any medication, or if you suspect you might be pregnant or nursing, suffer from allergies or any health problems

Upon receiving registration form and/ or payment we will send a confirmation. Feel free to call Madelene at 415 596 7565 for additional information