ZJ Farms

ZJ Farms
Susan Jutz
5025 120th NE
Solon, IA 52333
(319) 624-3052
susan@zjfarms.com

LOCAL HARVEST CSA 2008
MEMBERSHIP AGREEMENT FORM
Iowa City
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)

Simone's Flower Share (Wed only)
_____ $125 (16 weeks)

Simone's Bread & Egg Share (Wed only) (20 weeks)
   _____ $220 Large      _____ $140 Regular

_____ Total $ Amount Enclosed

DELIVERY/PICK UP OPTIONS

In Town Delivery

_____ Iowa City Farmer’s Market, Wednesday, 5:30 - 7:00 p.m.

_____ Dodge Street Pick Up Site  Friday, 5:00-6:30 p.m.

Pick Up at ZJ Farm - Vegetable Share Only

_____ This option is available on Mondays and Fridays. Deduct $30 from the 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 ____ or 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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