Program Fee

Please use the form below to pay your Program Fee with a credit card.

Checks can be mailed to: Red Wiggler Community Farm P.O. Box 968, Clarksburg, MD 20871

Other Amount/Additional Donation

Basic Tour - $ 75.00

Sensory Exploration Tour - $ 75.00

2-3 Hour Service Visit - $ 50.00

Corporate Volunteer Visit - $ 250.00

Consultation - $ 200.00

Alternative Spring Break - $ 50.00

Other Amount

Other Amount $

Total Amount

Email Address *

I am making a payment on behalf of an organization.

On Behalf Of Organization

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Email (Main) *

Street Address *

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Credit Card

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Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

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