CSA Sign-up

	TheDahliaFarm.com
	...NATURAL FARMING, BETTER LIVING...

CSA, Restaurant supplier, Farmer's Market participant

2010 CSA Sign-up Sheet (20 weekly shares)

Please print this page, mark the share(s) of your choice & fill-in the form.

Make checks payable to "The Dahlia Farm," and mail to 410 Plymouth Street, Middleboro, MA 02346.

CSA Shares:

____Full (May-Oct.) $500.00 (feeds family of 3-4)

____Half (May-Oct.) $290.00 (feeds individual or small family)

Egg Shares:

____Full (May-Oct.) $60.00 (1 dozen farm-fresh eggs, every week, for 20 week season)

____Half (May-Oct.) $30.00 (1 dozen farm-fresh eggs, every other week, for 20 week season )

Total # of all Share options_________

Total due: $_____________________

Name ________________________________________

Address_______________________________________

City___________________________ Zip____________

Daytime Phone __________________ Evening Phone ______________________

E-mail_____________________________________

Please choose from one of the following pick up locations & dates: (Check One)

Monday (Pickup Noon - 4:00 p.m.)

____Middleboro, MA at Reynolds Flowers (after 4pm on front porch)

Friday (Pickup Noon - 4:00 p.m.)

____Middleboro, MA at Reynolds Flowers (after 4pm on front porch)

Wednesday (Pick-up 12:30-4:00 p.m.)

___Duxbury Farmers Market (Tarklin Community Center, Rt. 53)

Saturday (Pick-up 9:30a.m.-1:30 p.m.)

___Plymouth Farmers Market (Court House Green, Downtown)

Please make checks payable to "The Dahlia Farm," and remit to 410 Plymouth St., Middleboro, MA 02346