CECI EST LE FORMULAIRE D'ABBONEMENT Berlin Farms This form is to register farms located in Berlin and Brandenburg. Name of the farm*Address of the farm* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your Name First Last Email* Phone number of the farmWhat is your connexion with the farm?* Besitzer (I'm the owner) Mitarbeiter (employee) Kunde (customer) sonstige (other) SpecifyDoes the farm have a website? Enter full url with https://What does the farm produce and sell to individuals customers?* Select All Gemüse / vegetables Obst und/oder Gemüse Kisten (Fruit and/or veg boxes) Eier / eggs Kochkisten (cooking boxes) Käse / Cheese Brot / bread Wurst / Sausages Obst / fruits Milch / milk Fleisch / meat Saft / juice Honig / honey Fisch / fish Kräuter / herbs sonstige / other SpecifyAre the produce from the farm certified organic?* Select All Bio Bioland Naturland Demeter Not organic Other SpecifyWhat are the instructions for ordering?* Select All Phone Online Other Please tell us howInstructions for delivery* Select All Pick up at the farm Delivery in Berlin Delivery at a pick-up point in Berlin Don't know Areas in Berlin you deliver to* Select All Mitte Friedrichshain-Kreuzberg Pankow Charlottenbourg-Wilmersdorf Spandau Steglitz-Zehlendorf Tempelhof-Schöneberg Neukölln Treptow-Köpenick Marzahn-Hellersdorf Lichtenberg Reinickendorf Additional information on order or delivery time, days, etc.infowindow informationinfowindow_information could appear on the info bulle inside the mapFeature Image jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 7) {gf_global["number_formats"][7] = {"20":{"price":false,"value":false},"6":{"price":false,"value":false},"7":{"price":false,"value":false},"34":{"price":false,"value":false},"39":{"price":false,"value":false},"31":{"price":false,"value":false},"35":{"price":false,"value":false},"8":{"price":false,"value":false},"22":{"price":false,"value":false},"36":{"price":false,"value":false},"24":{"price":false,"value":false},"37":{"price":false,"value":false},"26":{"price":false,"value":false},"29":{"price":false,"value":false},"27":{"price":false,"value":false},"28":{"price":false,"value":false},"33":{"price":false,"value":false},"38":{"price":false,"value":false},"40":{"price":false,"value":false}};if(window['jQuery']){if(!window['gf_form_conditional_logic'])window['gf_form_conditional_logic'] = new Array();window['gf_form_conditional_logic'][7] = { logic: { 35: {"field":{"actionType":"show","logicType":"all","rules":[{"fieldId":"31","operator":"is","value":"sonstige (other)"}]},"nextButton":null,"section":null},36: {"field":{"actionType":"show","logicType":"all","rules":[{"fieldId":"22","operator":"is","value":"sonstige \/ other"}]},"nextButton":null,"section":null},37: {"field":{"actionType":"show","logicType":"all","rules":[{"fieldId":"24","operator":"is","value":"Sonstige | Other"}]},"nextButton":null,"section":null},29: {"field":{"actionType":"show","logicType":"any","rules":[{"fieldId":"26","operator":"is","value":"Sonstige | Other"},{"fieldId":"26","operator":"is","value":"Am Telefon | Phone"},{"fieldId":"26","operator":"is","value":"Auf der Website | Online"}]},"nextButton":null,"section":null},28: {"field":{"actionType":"show","logicType":"any","rules":[{"fieldId":"27","operator":"is","value":"Lieferung in Berlin | Delievery in Berlin"},{"fieldId":"27","operator":"is","value":"Zustellung an einem Abholpunkt in Berlin | Delievery at a pick-up point in Berlin"}]},"nextButton":null,"section":null} }, dependents: { 35: [35],36: [36],37: [37],29: [29],28: [28] }, animation: 0, defaults: {"6":{"6.1":"","6.2":"","6.3":"","6.4":"","6.5":"","6.6":"Germany"},"7":{"7.2":"","7.3":"","7.4":"","7.6":"","7.8":""}}, fields: {"20":[],"6":[],"7":[],"34":[],"39":[],"31":[35],"35":[],"8":[],"22":[36],"36":[],"24":[37],"37":[],"26":[29],"29":[],"27":[28],"28":[],"33":[],"38":[],"40":[]} }; if(!window['gf_number_format'])window['gf_number_format'] = 'decimal_dot';jQuery(document).ready(function(){gf_apply_rules(7, [35,36,37,29,28], true);jQuery('#gform_wrapper_7').show();jQuery(document).trigger('gform_post_conditional_logic', [7, null, true]);} );} if(typeof Placeholders != 'undefined'){ Placeholders.enable(); }} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} ); jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [7, 1]) } );