Boistfort Valley Farm CSA: Sign up!

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

* Cost of CSA is $600 (or $575 if paid in full by May 1st).
* Produce is packed in boxes and delivered to a central location in your
  neighborhood. Please return boxes in usable condition from the
  previous week when picking up your next delivery.
* Payment schedule is based on 20 weeks. After receipt of your deposit,
  payments are due the first of each month beginning beginning July 1st.
  If payment is not received by the 15th, deliveries will be suspended.
* No refunds will be granted after July 31.
* Late membership will be prorated.
* Please see our Vacation Policy for missed deliveries.


name: ___________________________________________________________
email: __________________________________________________________
address: ________________________________________________________
city: __________________________ state: ____ zip: _______________
phone: __________________________________________________________
please circle drop location:   Capitol Hill/Seattle
	Ballard     Wallingford/Fremont     Rose Hill/Bellevue
	North Mercer Island     South Mercer Island
	Wizards of the Coast     Proctor District/Tacoma
	Olympia Farmers Market     Tumwater     Centralia
	Chehalis     Boistfort Valley Farm
suggest other: __________________________________________________
amount enclosed:     $150 deposit*     $600 full payment**
                     $1700 Sustaining Membership: 2008-2010 Seasons
other: __________________________________________________________

* Further payments of $150 are due the 1st of July, August, and
September, unless other arrangements have been made.
** Cost of CSA is $600 (or $575 if paid in full by May 1st).

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