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CSA Sign Up Form

Mountain Foot Farm
CSA Sign Up Form
2012

Name:____________________________________________________________

Address:_________________________________________________________

_________________________________________________________________

Phone: ____________________ Email: ____________________________

Share choices:

Large - Long season = fill 18 quart container 18 times throughout the season

Small - Long season = fill 12 quart container 18 times throughout the season

Large - Short season = fill 18 quart container 12 times throughout the season

Small - Short season = fill 12 quart container 12 times throughout the season



Please sign me/us up for the following share(s) of produce from Mountain Foot Farm in 2011.

Number CSA Type Cost each Deadline Amount
  Large - Long season $486 June 16  
  Small - Long season $324 June 16  
  Large - Short season $324 June 16  
  Small - Short season $216 June 16  
  Early Bird Discount* $10/share May 19  
  TOTAL      

* Early bird discount only available for payment in full by May 19 (not available to those who choose the optional three payment plan)

|_| Optional three payment plan with 1/3 of total due:
May 19 _____
June 2 _____
July 7 _____

Make checks payable to Mountain Foot Farm.
RETURN THIS FORM WITH PAYMENT TO:

Curtis Sjolander
Mountain Foot Farm
154 Blakely Road
Wheelock, VT 05851

Phone: (802) 626 - 9471
Email: seedy@mtnfootfarm.net

_________________________________________________________________

|_| I would like to contribute to the Vermont Farm Share Program to help low-income households in our community join the farm. Every cent donated goes directly towards the cost of a share. Any size donation helps. For donations to be tax deductible, make check (separate from the one for your CSA share) payable to the Northeast Organic Farming Association of Vermont (NOFA-VT) and write “Mountain Foot Farm” in the check memo. Enclose this check with this form. NOFA-VT will match the donation, and grant it back to our farm.