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LOCAL HARVEST CSA 2008 MEMBERSHIP AGREEMENT FORM North Liberty print, fill out and return this form
Vegetable Share (20 weeks) _____$635 Large (Includes in town delivery fee) _____ $370 Regular (Includes in town delivery fee)
Egg Share (20 weeks) _____ $60 1 dozen/week _____ Other $30 ½ dz; $120 2dz
_____ Total $ Amount Enclosed
DELIVERY/PICK UP OPTIONS
In Town Delivery
_____Friday Only North Liberty dropsite (delivery fee included in share price)
Pick Up at ZJ Farm - Vegetable Share Only _____ This option is available on Mondays and Fridays. Deduct $30 from share price for this option.
YOUR CONTACT INFORMATION
Family Name (Please include all members and ages of children)
Mailing Address (both if sharing)
Telephone (Local Harvest CSA needs at least one telephone number at which we can reach you for emergencies. At which telephone number do you prefer to be contacted for questions and announcements? (Home ____ Work ____): ____________________________
Email (Newsletters, announcements, and lots of important stuff is sent out via email):
Please fill out completely and return to: Susan Jutz, Local Harvest CSA 5025 120th Street Solon, Iowa 52333 (319) 624-3052 www.zjfarms.com
Share price a problem? Please call Susan to discuss alternative possibilities - expanded payment plans, barter skills or farmwork for vegetables....suggest a possiblity!
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