Good Earth CSA -- Sign-Up Form
Please Print, Fill Out, and Mail In
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Yes! I would like to join Good Earth CSA for the 2002 season and receive my “share” of the harvest!
I choose the following payment plan:

Enclosed is my full payment of $630, plus $5 per household membership fee.
Enclosed is $315, plus $5 per household membership fee. I will pay the remaining $315 by August 1, 2002.
Enclosed is a deposit of $50, plus $5 per household membership fee. I will pay two installments of $290, due May 1 and August 1, 2002.
Please contact me about Good Earth CSA's Low-Income Scholarship Fund.
I am enclosing a contribution of $_______ for Good Earth's Low-Income Scholarship Fund, so our CSA community can be more inclusive. I understand this donation is not tax-deductible.

My share agrees to help ensure the success of the farm by committing 12 person-hours of farm help. Our work shift preferences are:
weekend OR  weekday
morning OR afternoon
2-hour OR 3-hour OR 4-hour shifts
we would like to carpool with other members.

I live near the farm. I will pick up my share at the farm each week on my scheduled pick-up day. Here are my first and second choices of pick-up day:
___ Tuesday (11 a.m.-7 p.m.)    ___ Thursday (11 a.m.-7 p.m.)   ___  Saturday (11 a.m.-3 p.m.)    ___  no preference
I live in the Boston area, and am interested in being part of a pick-up co-operative and dividing driving responsibilities with other CSA members. Please call me.

Your Name(s) ______________________________________________________
Street Address ______________________________________________________
City/State/Zip _______________________________________________________
Phone: (h) _____________________ (w) _________________________________
Email: _____________________________________________________________
Pick-up Co-op (if relevant) _____________________________________________

I am splitting my share. My share partner is:
Share Partner Name(s) ________________________________________________
Street Address ______________________________________________________
City/State/Zip _______________________________________________________
Phone: (h) _____________________ (w) _________________________________
Email: _____________________________________________________________

This is my  1st  2nd 3rd 4th 5th season as a member of Good Earth CSA.

Please fill out this form completely and return with your check (payable to Good Earth CSA) to:

Good Earth CSA
P.O. Box 1554
Westboro, MA 01581

You will receive a map with directions to the farm, a work sign-up form, and other information in May.