Spoutwood Farm CSA 2008 Commitment Form
Name (primary shareholder):_______________________________________Date_____________
Name (co-shareholders):_____________________________________________________________
Children (include ages): _____________________________________________________________
Address:__________________________________________________________________________
Phone:___________________________________Email____________________________________
How did you find out about Spoutwood Farm CSA?________________________________________
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/Charles Village/Johns Hopkins University, to be arranged with Baltimore distribution coordinator
__ I am interested in the Group Membership option (please call for info)
__ Other pick-up options possible, for instance, would you like to host a pick-up location?
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 ($75 per Large Share, $50 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 ($580 per Large Sh., $360 per Medium Sh., $0 per Working Sh.)
$_______ (IF financial support) ($75 per Large Share, $50 per Medium Share)
$_______ =TOTAL owed for the year
$_______ =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 mail to: Spoutwood Farm CSA, 4255 Pierceville Rd., Glen Rock, PA, 17327