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Big White Barn CSA Agreement Form 2013

Print & fill out this form and mail along with your check made payable to BIG WHITE BARN PRODUCE.

 

Carrollton Manor Farm

6601 Manor Woods Road

Frederick, MD 21703.

  

Name      ________________________________________________________________________________________

 Address  ________________________________________________________________________________________

                _______________________________________________________________________________________

   City                                                                           State                            Zip

 

Daytime Phone:  ____________________________________________________________________________

 

E-Mail: ______________________________________________________________________________________

______WEEKLY Full Share   $550.00

______BI-WEEKLY Full Share  $275.00

______WEEKLY Half Share (4-5 items) $325.00

 

Pick Up Location: __________________________________________________________________________________________

 

Amount Enclosed:  $________________________      

 

___I am a new member.  I heard about Big White Barn CSA from: ________________________________

  

I agree to pay the amount above.  In exchange, the farm agrees, to the best of their ability, to provide me with a weekly (or bi-weekly) share of seasonal produce.  I recognize that I will take part in the risks as well as the successes of the farm.

                                          Signature: ____________________________________________________

 

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