2009 CSA SIGN-UP
Name:
Address(include Zip):
Email:
Phone:
Address(include Zip):
Email:
Phone:
Personal Information:
(You can share your box with another person or household, just write their name and info below!)
(You can share your box with another person or household, just write their name and info below!)
Household #1
Fill out this form and mail with payment (check) to:
Driftless Organics, 50561 Cty Hwy B, Soldiers Grove, WI 54655.
Driftless Organics, 50561 Cty Hwy B, Soldiers Grove, WI 54655.
THE BOXES: Check which share(s) you would like:
(Click here for more details about the different shares we offer.)
(Click here for more details about the different shares we offer.)
Household #2
Name:
Address(include Zip):
Email:
Phone:
Address(include Zip):
Email:
Phone:
Weekly Veggie Box: $525
Every Other Week Box: $325
Thanksgiving Box $65
Holiday Box $65
Sunflower Oil Small $42
Sunflower Oil Large $135
25lb Beef Pack $150
50lb Beef Pack $300
10lb Raw Beef Meaty Dog Bones $20
From Asparagus to Zucchini Foodbook: $15 (click here for more details about this great cookbook!)
Every Other Week Box: $325
Thanksgiving Box $65
Holiday Box $65
Sunflower Oil Small $42
Sunflower Oil Large $135
25lb Beef Pack $150
50lb Beef Pack $300
10lb Raw Beef Meaty Dog Bones $20
From Asparagus to Zucchini Foodbook: $15 (click here for more details about this great cookbook!)
TOTAL DUE
The Dane County Farmers Market
The Westside
The Westside
The Twin Cities:
St. Paul (Hamline University area)
Minneapolis (Seward Neighborhood)
Minneapolis (Linden Hills Neighborhood)
Minnetonka (Ridgedale Mall area)
Eagan (Blue Cross/Blue Shield) *Blue Cross/Blue Shield employees only*
Minneapolis (Seward Neighborhood)
Minneapolis (Linden Hills Neighborhood)
Minnetonka (Ridgedale Mall area)
Eagan (Blue Cross/Blue Shield) *Blue Cross/Blue Shield employees only*
Payment Options
Single Payment: Enclose one check for the full amount (We will deposit checks after January 1, 2009).
Two Installments: Enclose two checks (each for half the amount you owe), one with today’s date and one dated for deposit on July 1, 2009. We will hold the second check until July 1, 2009.
Single Payment: Enclose one check for the full amount (We will deposit checks after January 1, 2009).
Two Installments: Enclose two checks (each for half the amount you owe), one with today’s date and one dated for deposit on July 1, 2009. We will hold the second check until July 1, 2009.
Member Agreement (please read and check)
I understand that joining the Driftless Organics CSA involves some risks and that even with the folks at Driftless Organics trying their absolute hardest at filling my boxes, there may be a time where weather or pests foil the best laid plans and crops don't yield as they are expected to do so and consequently my box may not be as full as described. I further understand that I am responsible for picking up my box at the given time and if I don't make it, I need to get a hold of the coordinators to arrange something and they are not responsible for my box after the said pick up time.
I understand that joining the Driftless Organics CSA involves some risks and that even with the folks at Driftless Organics trying their absolute hardest at filling my boxes, there may be a time where weather or pests foil the best laid plans and crops don't yield as they are expected to do so and consequently my box may not be as full as described. I further understand that I am responsible for picking up my box at the given time and if I don't make it, I need to get a hold of the coordinators to arrange something and they are not responsible for my box after the said pick up time.
I am a returning Driftless Organics CSA member!