To renew your discount card fill out the form below. Fields marked with * are required to be filled. Turn around time is generally 10 business days.Your discount card and discount number will be mailed to the address you provide in the form below. If we have any questions we will contact you at the email address or phone number provided in your information. Please double check to see the information is accurate before you click “Submit” so we can contact you right away.
Terms and Conditions
I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that any misrepresentation or material omission of this application will result in my being eliminated from further consideration. I further understand that, if my application is accepted, any misrepresentation or material omission which becomes known to Coastal Farm will result in immediate termination of my discounts.