2008
Blackberry Community Farm
CSA Agreement

- I wish to become a share member & agree to the conditions set out in this brochure.

- If splitting a share list other households on a separate paper. Household #1 agrees to be the contact & take responsibility for payments.

Name_______________________________________________________________________

Address _____________________________________________________________________

City, State, Zip _______________________________________________________________

Phone________________________________ E-mail ________________________________

I would like the notes sent by e-mail _____

Payment Choices:

__ full payment of $500 ($475 for Menomonie) enclosed (receive a free Jacob’s Lip & Body Balm)

__ deposit of $125 enclosed & three $125 payments due June 1, July 1 & Aug. 1

__extra $5 enclosed w/deposit if split share

EXTRAS (please circle what you want) will be included with your first box

__ 1 pint raw honey -approx. 24 oz. (glass jar or honey bear) $6.00

__ 1 oz. Jacob's Lip & Body Balm (peppermint or orange) $3.00

Call if you need financial assistance or would like to barter.

ALL Tuesday pick-up site choices are FULL

__ Mississippi Market 622 Selby Ave., St. Paul

__ Seward Co-op 2111 E. Franklin, Mpls.

__ Eastside Food Co-op 2551 Central Ave. NE, Mpls.

Friday pick-up site choices:

__ Menomonie Market Food Co-op, Wisconsin

__ Patagonia 1648 Grand Ave., St. Paul

__ Ecopolitan 2409 Lyndale Ave., Mpls