CSA Sign-up 2012

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

CSA, Restaurant supplier, Farmer's Market participant

2012 CSA SIGN-UP SHEET:

(18 weekly shares, June-October)

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 $500.00 (feeds family of 3-4)

____Half $290.00 (feeds family of 2-3)

Egg Shares:

____Full $70.00 (dozen farm-fresh eggs weekly)

____Half $35.00 (dozen farm-fresh eggs every other week)

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)

Wednesday (Pickup: 1pm-6pm)

____Middleboro, MA at Reynolds Flowers

Thursday (Pick-up 1:30 p.m - 5:30 p.m)

___Duxbury Farmers Market (Tarklin Community Center)

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