 Shoestring Farm168 Ed Clark Road Colrain, MA 01340 phone: 413-624-3358 web: www.shoestringfarm.net Yes, I ’d like to become a member of Shoestring Farm CSA for 2012! Please print and fill in this shareholder application and mail it to us to obtain your CSA share for the 2012 season! Name(s):______________________________________ ______________________________________ Address:______________________________ ______________________________________ Telephone:____________________________ Email:________________________________ __I would like to receive one share (sliding scale $375 - $475). __I would like to pick up my share: (Choose 1 Pick-Up Site) ___ on the farm in Colrain -OR- ___ in Shelburne Falls -OR- ___ in Marlboro, VT __I can pay $______for my share. __I have enclosed full payment. __I have enclosed a $50 deposit and will pay the balance in equal June, July,and August installments. __I understand that I am committing to the 2012 growing season and will share the risks and rewards of Shoestring Farm CSA membership. __I understand that if I am unable to pick up my weekly CSA share it will be delivered to the Center for Self-Reliance in Greenfield. Back to web site |