Defending the rights and broadening the freedoms of family farms and protecting
consumer access to raw milk and nutrient dense foods.

 
Send your favorite farmer, friend or family member a gift certificate for membership.

Your gift will be recorded as a donation to the Fund (non tax-deductible). To complete the process, the recipient will need to complete a membership application and send it to the Fund with the gift certificate as their method of payment.
 
Step 1 - Enter Recipient & Sender Information
Please indicate type of membership:
Farmer Gift Membership - $125
Consumer Gift Membership - $50
NMCA Gift Membership - $125 (What's this?)
Artisanal Gift Membership - $125
 
Please indicate gift delivery method:
Send the gift certificate and application TO THE RECIPIENT by email. Send me a copy by email for verification.
Send the gift certificate and application TO ME by email. I'll send or give it to them personally.
 
RECIPIENT INFORMATION
Title:
Mr. Mrs. Mr. & Mrs. Ms. Miss Other:
First Name:
Middle Initial:
Last Name:
Organization:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email:
Confirm Email:
Note to Recipient:
YOUR BILLING INFORMATION
Title:
Mr. Mrs. Mr. & Mrs. Ms. Miss Other:
First Name:
Middle Initial:
Last Name:
Organization:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email:
Confirm Email:
METHOD OF PAYMENT
Total Donation:
  Visa   Mastercard   Discover   American Express   PayPal  
Card Number:
Name on Card:
Exp. Date:
Month:   Year:
Sec. Code:
(What's this?)
AUTHORIZATION & AGREEMENT
Initials
My initials above authorize FTCLDF to charge this payment.
PRIVACY STATEMENT:
* We use your information to inform you of other products or services offered by the Fund.
* We do not sell, rent, or lease our donor lists to third parties.
 

For questions about this form, please email info@farmtoconsumer.org
or phone 703-208-3276 (10 a.m. - 6 p.m. Eastern).