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 your support

Full Name *
Full Name
Address *
Address
Shares are shipped anywhere in on the west coast additional shipping charge of $10.00 per share. outside shipping may require additional fee
Phone Number *
Phone Number
Seasonal Share *
Shipping cost is $10.00 per kit
$
Payment Type *
* Check made out to Full Moon Folk Medicine and sent 2706 A Meadow Creek Way Arcata CA 95521 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