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Membership Form
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Spoutwood Farm CSA 2010 Commitment Form
Name (primary shareholder):_______________________________________Date_____________Name (co-shareholders):_____________________________________________________________ Children (include ages): _____________________________________________________________ Address:__________________________________________________________________________ Phone(s):___________________________________Email___________________________________ How did you find out about Spoutwood Farm CSA?__________________________________________ Are you interested in hosting an intern/apprentice at your house (Must be near farm , $ possible)?_______ Are you able to do administrative work at the farm for a Working Share or Labor Support?_____________ Share Size and Number (Check all that apply, include # if more than one) __ Large Share(s) (intended for 3-4 people) __ Medium Share(s) (intended for 1-2 people) (roughly 60% of a large share) Pick-up Locations __ At Spoutwood Farm in Glen Rock, PA __ In Hanover, PA __ At Good Stewards healthfood store in south York, PA __ In East York, PA __ In Cockeysville, MD __ At Baltimore (Roland Park) __ I am interested in the Group Membership option (please call for info) CSA Labor Support: (Please select one) __ I will contribute labor support (15 hrs. per Large Share, 10 hrs. per Medium Share) (labor support could be garden work, office work, or hosting a distribution site) __ I will provide financial support in lieu of labor support ($150 per Large Share, $100 per Medium Share) __ I would like to do a Working Share (70 hours/medium share,100/large; call for info and confirmation) Payment Amounts and Schedule $_______ Cost of share ($660 per Large Sh., $440 per Medium Sh., $0 per Working Sh.) $_______ (IF financial support) ($150 per Large Share, $100 per Medium Share) $_______ =TOTAL owed for the year. Billing Option________(you will be billed later) $_______ =Amount paid now ($100 deposit, or full payment. Paying more now helps us greatly) $_______ =Amount I owe by June 1st (TOTAL minus amount paid) Shareholder Pledge I/we pledge to receive our proportionate share of the total CSA harvest as a weekly delivery of fresh local organic produce. I/we will share the bounty of large harvests and the limits of reduced harvests. I/we pledge to provide our CSA support. I/we pledge to care for the local community, to care for the land that we use for our sustenance, and to care for the web of life on Earth on which we all depend. Signed:____________________________________________ Date:_________
Please call if you have any questions: 717-235-6610 or E-mail us at: This e-mail address is being protected from spambots. You need JavaScript enabled to view it |