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. to
7 p.m.)
___ Thursday (11 a.m. to 7 p.m.)
___ Saturday (11 a.m. to 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
season 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. |