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CSA Sign Up Form

Mountain Foot Farm
CSA Sign Up Form
2015

Name:____________________________________________________________

Address:_________________________________________________________

_________________________________________________________________

Phone: ____________________ Email: ____________________________

Share choices:

Large = fill 18 quart container 12 times throughout the season

Small = fill 12 quart container 12 times throughout the season



Please sign me/us up for the following share(s) of produce from Mountain Foot Farm in 2015.

Number CSA Type Cost each Deadline Amount
  Large - Short season $324 July 4  
  Small - Short season $216 July 4  
  Early Bird Discount* $10/share May 16  
  TOTAL      

* Early bird discount only available for payment in full by May 16 (not available to those who choose the optional three payment plan)

|_| Optional three payment plan with 1/3 of total due:
May 16 _____
June 6 _____
July 4 _____

Make checks payable to Mountain Foot Farm.
RETURN THIS FORM WITH PAYMENT TO:

Curtis Sjolander
Mountain Foot Farm
154 Blakely Road
Wheelock, VT 05851

Phone: (802) 626 - 9471
Email: seedy@mtnfootfarm.net

_________________________________________________________________

|_| I would like to contribute to the Vermont Farm Share Program to help low-income households in our community join the farm. Every cent donated goes directly towards the cost of a share. Any size donation helps. For donations to be tax deductible, make check (separate from the one for your CSA share) payable to the Northeast Organic Farming Association of Vermont (NOFA-VT) and write “Mountain Foot Farm” in the check memo. Enclose this check with this form. NOFA-VT will match the donation, and grant it back to our farm.