2010 BLACKBERRY COMMUNITY FARM CSA AGREEMENT

- I wish to become a share member & agree to the conditions set out on this site.
- If splitting a share list other households complete information separately. House-hold #1 agrees to be the contact & send payments.

Name_________________________________________________________

Address _______________________________________________________

City, State, Zip __________________________________________________

Phone________________________  E-mail ___________________________

I would like the notes sent by e-mail _____

How did you find out about the CSA _________________________________________________________

Payment Choices:

__ full payment of $556 enclosed - much appreciated
__ payment of $106 (plus three postdated checks for $150 (June 1, July 1, & August 1)
Call if you need financial assistance or barter.

Tuesday pick-up site choices:

__ Proechel’s 782 Holly Ave., St. Paul 4-9 P.M.
__ Seward Co-op 2111 E. Franklin, Mpls 4:30-9 P.M.
__ Eastside Food Co-op 2551 Central Ave, Mpls 5-9 P.M.

Friday pick-up site choices:

__ Farm ($25 discount) 2-9 P.M.
__ Menomonie Market Food Co-op, Wisconsin 3-8 P.M.
__ Patagonia 1648 Grand Ave., St. Paul 4:15-7 P.M.
__ Ecopolitan 2409 Lyndale Ave., Mpls 5-10 P.M.

Make checks payable to:

Blackberry Community Farm E7339 County Road S Wheeler, Wisconsin 54772