Boistfort Valley Farm Winter CSA: Sign up!

Please fill out this form, print it & mail it with your check to
apply for membership in our Winter CSA program.

* Cost of CSA is $300, for five Monthly deliveries.
* Produce is packed in boxes and delivered to a central location in your
  neighborhood. Please return boxes in usable condition from the
  previous month when picking up your next delivery.
* After receipt of your deposit, a second payment of $150 is due the
  1st of March, unless other arrangements have been made.


name: ___________________________________________________________
email: __________________________________________________________
address: ________________________________________________________
city: __________________________ state: ____ zip: _______________
phone: __________________________________________________________

2009 Winter CSA Share
amount enclosed:     $150 deposit*     $300 full payment

Preferences:
Coffee     ___ yes please!     ___ decaf     ___ no thanks
Wheat/Gluten     ___ no problem     ___ no thanks
Notes:


please circle drop location:   
	Olympia     Centralia     Chehalis     Boistfort Valley Farm
suggest other: __________________________________________________

* Further payment of $150 is due the 1st of March,
    unless other arrangements have been made.

I understand and agree to the purchase conditions and payment schedule.
I also understand that availability of crops and their quantities are
approximate and may vary with seasonal conditions (please sign).

_________________________________________________________________
	
how did you hear about us? _________________________________________

Please print this form out & send it, along with your check, to:

Boistfort Valley Farm
PO Box 130
Curtis, WA 98538

phone:  (360) 245-3796
website: www.BoistfortValleyFarm.com