Get Raw Milk!

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Get Raw Milk!

Please complete this form if you are interested in becoming a herdshare owner at Six S Dairy to obtain Fresh Raw Milk weekly.

Full Name (First, Last) *

Email Address *

Phone Number (Will only be use to text you if we can not reach you via email - we will not call)

I want to pick-up my milk at: *

The Farm: 9374 21 Mile rd, Sand Lake, MI 49343

Rockford Drop Spot: Downtown Rockford, MI (Typical 2-10 month waiting list) ($10 drop spot fee per month)

Northside Chiropractic: 2221 Plainfield, Grand Rapids, MI (Typical 12+ month waiting list) ($10 drop spot fee per month)

The Remedy House: 5150 Northland Dr, Grand Rapids, MI (Typical 6-12 month waiting list) ($10 drop spot fee per month)

Home Delivery: Limited route in the Rockford, Ada, Lowell MI area. Must provide address below for approval. ($10 delivery fee per week)

Required

If you selected on farm pick-up above, what are your top 2 choices for your weekly pick-up day?

Pick-up hours are Weekdays 8am-8pm and Weekends 10am-8pm.

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

If you selected Home Delivery above, please provide your home address below. We will contact you via email to let you know if you are in our delivery area and if there is currently a waiting list.

How much milk would you like per week? *

1/2 Gallon {Initial one time buy in fee of $25 (this is refunded if you ever wish to stop getting milk) and $40 per month}

1 Gallon {Initial one time buy in fee of $50 (this is refunded if you ever wish to stop getting milk) and $80 per month}

1.5 Gallons {Initial one time buy in fee of $75 (this is refunded if you ever wish to stop getting milk) and $120 per month}

2 Gallons {Initial one time buy in fee of $100 (this is refunded if you ever wish to stop getting milk) and $160 per month}

More than 2 Gallons a week

I understand milk must be picked up weekly. *

Yes

Additional Questions or Comments:

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