Sign Up Sheet
Big White Barn CSA Agreement Form 2019
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: ___________________________________________________________
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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