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    Sign-Up Form 
    Please Print, Fill Out, and Mail In
    (click here for printer-friendly version)

    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.