CSA Sign-up Sheet

Please print this form, fill-out and remit with payment. Make checks payable to "The Dahlia Farm," and mail to 410 Plymouth Street, Middleboro, MA 02346.

CSA Shares:

____Full $550.00 (feeds family of 3-4)

____Half $350.00 (feeds family of 2-3)

Egg Shares: CLOSED FOR 2013 (available at pick-up)

Total # of all Share options _____________________________________________

Total due:

$_____________________________________________

Name ______________________________________________

Address

____________________________________________________________________________________________

City

______________________________________________

Zip

______________________________________________

Daytime Phone

______________________________________________

Evening Phone

______________________________________________

E-mail ______________________________________________

2013 Pick up locations will be in Middleboro only.

Wednesday (Pickup: 1pm-6pm)

____Middleboro, MA at Reynolds Flowers

SPECIAL OFFER:

If you work for a company or with a community group in the area (Southcoast to South Shore) and can organize at least 10 subscriptions, we will deliver to you weekly at no charge.

Drop us an email (TheDahliaFarm@yahoo.com) or call for more info.

If you have not signed-up yet for your CSA, we will be pro-rating shares for a limited time. Be sure to sign-up now to enjoy the summers best veg!