Let’s Get Started!


The form below allows you to create a profile which is necessary to place orders. Do not forget that this information is essential to use our services correctly.

Personal information
First Name *
Last Name *
Who referred you?  
How did you hear about us?  
Please check here if this is a gift delivery  
Gift Recipient Name  
Gift Card Message  
Billing Address
Address *
Address (line 2)  
City *
State *
zip code *
Pickup Location
Location *
Delivery Address (leave empty if same as billing address)
Address (line 2)  
zip code  
Please check here if this is a business address  
Special instructions to your home and/or access to apartment building?  
Where to leave your FarmBox if you're not home?  
Pick Your Delivery Day  
Contact Information
Phone *
E-Mail *
Confirm email *
Additional E-mail  
Additional Phone  
Username & Password
Username/Customer Code *
Password *
Confirm Password *
Miscellaneous options
Produce dislikes  
Payment information
Payment method   Credit card
Credit card number (no spaces or dashes) * You have not entered your payment details yet...
Discount coupon
Coupon code  
Additional information
How would you like your FarmBox packaged? (ONLY eco-baskets come with reusable ice) *
Plastic or reusable mesh produce bags? ($.50 deposit per reusable mesh produce bag) *
Substitutions OK?