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New Life CSA Shaffer Family Farm |
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Certified Organic Community Supported Agriculture |
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Please print the form below and mail to the address indicated. |
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2011 New Life CSA Membership Contract Name(s) _____________________________________________________ Address _____________________________________________________ Home Phone ________________ Cell Phone _____________________ E-mail _______________________ Best Way To Reach Me______________ In exchange for my membership with New Life CSA, Matthew Shaffer will supply me with a weekly share of fresh, certified organic produce from June through October. I understand that crop selection and quantities are estimates and that the actual harvest may vary from expectations. I also understand that dates are estimates of the actual growing season. It is my responsibility to pick up the produce. If I have any special requests or needs, it is my responsibility to make them known. Check one I would like a: _____ Half Share (for 2-3 people) Base Cost is $275 _____ Full Share (for 4-6 people) Base Cost is $500
I will be picking up my produce at: _____ Ard’s Farm Markets on Fridays after 1:00 (add $50) _____ Shaffer Farms on _________________ (Pick-up day preference).
Included with my weekly produce will be: ______ A half dozen eggs. (add $25) ______ A Full dozen eggs. (add $50)
I would like to be part of the Spring Produce Option (available to past members): ______ Yes. (add $25) ______ No thanks.
I will be paying: ______ the full amount of $________ ______ half now and half by June 15th, totaling $_________
_____________________________________ _______________________ Signature Date
Mail this Contract to: Matthew Shaffer Or Contact us at: (570) 988-3484 2362 Boyles Run Rd rshaffer1@localnet.com Sunbury, PA 17801 |