Sign Up Sheet

Big White Barn CSA Agreement Form 2017

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


Big White Barn Produce 

6601 Manor Woods Road

Frederick, MD  21703


Name      ________________________________________________________________________________________

 Address  ________________________________________________________________________________________


   City                                                                           State                            Zip


Phone (daytime):  __________________________________________________

E-Mail: ___________________________________________________________


______LARGE Box  (8 items weekly) $550

______MEDIUM box (6 items weekly) $450

______SMALL box (4 items weekly) $325

______BI WEEKLY (8 items every other week) $275



_____ Weekly Flower Delivery (4 weeks)  $60




Pick Up / Delivery 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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