Sign Up Sheet

Big White Barn CSA Agreement Form 2015

Print & fill out this form and mail along with your check made payable to BIG WHITE BARN PRODUCE.


Carrollton Manor Farm

6601 Manor Woods Road

Frederick, MD 21703.


Name      ________________________________________________________________________________________

 Address  ________________________________________________________________________________________


   City                                                                           State                            Zip


Daytime Phone:  ____________________________________________________________________________


E-Mail: ______________________________________________________________________________________

______WEEKLY Full Share   $550.00

______BI-WEEKLY Full Share  $275.00

______WEEKLY Half Share (4-5 items) $325.00


Pick Up Location: __________________________________________________________________________________________


Amount Enclosed:  $________________________      


___I am a new member.  I heard about Big White Barn CSA from: ________________________________


I agree to pay the amount above.  In exchange, the farm agrees, to the best of their ability, to provide me with a weekly (or bi-weekly) share of seasonal produce.  I recognize that I will take part in the risks as well as the successes of the farm.

                                          Signature: ____________________________________________________


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