Vegetable Shares are Sold Out, please join as a supporting member if you would like. Fruit & Egg shares are still available.
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2008 Community Supported Agriculture Sign-Up Form 

CSA 426 Jerry Lane NE. Check, VA. 24072
APPLICANT(s): 
Name 
Address: 
City: ST: Zip: 
Phone:
Email Address: 		 Second party if separate address:
Name 
Address: 
City: ST: Zip: 
Phone:
Email Address: 
E-mail address is for internal CSA use only; you will not receive SPAM from Seven Springs Farm.
Payment Options
  1. Sliding Scale - you choose what price to pay within the range given.
  2. Full payment on or before 4/1/08    No service charge
  3. Payment Plans - There are 2 options: 4 equal payments due 4/1, 6/1, 8/1,10/1 or 8 equal monthly payments. There is a $15.00 service charge on all payment plans.
SHARES: Please sign me up for the following share(s) in your CSA garden for 2008.
Number and type of Shares

 Cost

Payment Plans
check one
Amount
Enclosed
  #    Type of Share
 $ Sliding Scale
 Enter Price chosen
 Full Pay
 4 payments
 8 payments
Full share with 16 hrs labor $943.00-1243.00
Half share with 8 hrs labor $560.00-760.00
Full share non working $1130.00-1403.00
Half share non working $640.00-840.00
Herb share $27.00

Supporting Member: no veggies but newsletter & event invitations $10-25
I would like to contribute the following to the Low Income Share Fund:
I would like to reserve the above shares with a deposit min. $25.00, and pay the balance due by April 1
I am interested in helping with events
I am interested in helping with the CSA newsletter
I would like to receive weekly CSA information notes;
  By E-mail   On paper, stapled to my bag   you may check both
Make check payable to: CSA       Mail to: CSA 426 Jerry Lane NE, Check, VA 24072
TOTAL AMOUNT being mailed, based on this application:
I would like to pick up my food at the following location:
Floyd Roanoke Blacksburg Riner  Seven Springs Farm   Radford

Please check any of these that apply:
New Member, Renewal, 
I would like to apply for a low income share

I have read the accompanying proposal. I agree to pay my share of the cost of growing and distributing the harvest from the CSA garden at Seven Springs Farm. I agree to make my payments on time. Signature:
Fruit Share Information Click Here.
 Egg Share Information Click Here.
Last Updated 2/17/08 / by Ron Juftes