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Home
Home
The Farm
Rare Breeds
Crops
Products
La Fattoria
Razze Rare
Cultivazioni
Prodotti
Plan Your Visit
Private Bookings
Visita
Prenotazione Privata
Events
Feragosto
Eventi
Feragosto
Gift Shop
Contact / Find Us
Contatti / Dove Siamo
Membership Details Form
Thank you for making your membership payment. Please complete and submit the form below for each membership you have purchased to activate each person's membership.
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Name
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First
Last
Order Number for Membership Payment:
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Recieved in your confirmation Email
Email
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Phone Number
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Address
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City
State
Zip Code
Country
D.O.B (dd/mm/yyyy)
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Dietary Preferences
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Vegetarian
Gluten Free
Lactose Free
Allergies (please state):
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Children Under 5:
Please provide the names and dates of birth of any children under 5 you may bring with you as part of your membership:
First Name
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Last Name
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D.O.B (dd/mm/yyyy)
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First Name
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Last Name
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D.O.B (dd/mm/yyyy)
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Additional Information:
If you have paid for other adult family members with the same address under one payment please include their full names and dates of birth below. If the memberships paid for are for adults living at different addresses, then each member needs to fill the form in in full:
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I agree to receiving marketing and promotional materials
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