Certified Organic by Oregon Tilth

C.S.A. ENROLLMENT FORM

If you are interested in enrolling is our 2010 CSA membership program, you can enroll online below, or download the form here, fill it out, and mail back to us with your non-refundable check of $100.00. There are a limited number of shares available.

The enrollment deadline for the 2010 season is March 15th.

* = required fields

Name:	*
	*
Address:	*

City:	*
State:	*
Zip Code:	*
E-Mail:	*
	I would like to be notified about special events via e-mail.
Home Phone:	* At least one phone number must be provided!
Work Phone:
Cell Phone:

Please make your selection below.
Half Share $365.00	(which comes out to an average of $18.25 a week.) For 20 weeks of vegetables (shares are pre-boxed for pick-up at our farm stand) June 17th through October 28th. Plus 2.5% tax.
Full Share $685.00	(which comes out to an average of $34.25 a week.) For 20 weeks of vegetables (shares are pre-boxed for pick-up at our farm stand) June 17th through October 28th. Plus 2.5% sales tax.
Robust Share $955.00	(which comes out to an average of $47.75 a week.) For 20 weeks of vegetables (shares are pre-boxed for pick-up at our farm stand) June 17th through October 28th. Plus 2.5% sales tax.
Deposit $100.00	I wish to pay the non-refundable $100 deposit for enrollment and complete my payment another time. (Please note that payment must be received in full by the date specified in the C.S.A. terms!)
When choosing to pay the deposite, please specify what share you are putting a deposit down for: Deposite for Half Share
Deposite for Full Share
Deposite for Robust Share
Bread Share $100.00
Winter Storage Vegetable Box $47.00
I have read the Stoneybrook Farm 2010 CSA Guildlines and agree to the terms.

PAYMENT:

Enrollment deadline is Feb. 15th.
Payment is due in full by March 1st.
We accept cash, check, VISA, MasterCard, Discover, and American Express. There is a 3% additional charge for credit card purchases.

C.S.A. ENROLLMENT FORM

Please make your selection below.

PAYMENT: