Bailey's Local Foods

Buying Club Registration

* indicates a required field.

*Location: First United Church, Waterloo Breslau
Account Name: Jones Family

*Name: Matilda Jones

Contact: *Address: 8-4321 King St S
*City: Waterloo
*Province:
Postal Code: N2L 2L2
*Phone Number: 519-888-4321

Demographic Info: Number of people in your household:

select all age ranges that apply to members of your household: up to 5 years old
6 to 10 years old
11 to 20 years old
21 to 30 years
31 to 45 years
46 to 60 years
61 or more years of age

About your food: Proportion of food budget you plan to spend on local food: 60%

Order frequency: I plan to order from the buying club:
weekly monthly occasionally I don't know

I grow some of my food.
I don't currently, but would like to grow some of my food.
I preserve food at home (canning, freezing, drying, etc.).
I don't currently, but would like to preserve food at home (canning, freezing, drying, etc.).

By registering, you will receive emails about the buying club thoughout the season. A $20 membership fee will be applied to your first order.