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.

Name      ________________________________________________________________________________________

 Address  ________________________________________________________________________________________

                _______________________________________________________________________________________

   City                                                                           State                            Zip

Phone (daytime):  __________________________________________________

E-Mail: ___________________________________________________________

CSA SHARES: 

______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

FLOWER SHARE:

_____ 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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