2009 CSA Membership
Online Order Form
Name:
Address:
City:
State:
Zip:
Your Email Address:
Your Phone Number (s):
Our Summer CSA season runs from mid June until early to mid October, approximately 16-18 weeks
including a Fall Harvest Box, Ornamentals, U-Pick Flowers... Shares are sold on first come, first
served basis.
Every Other Week Large Share:
$325
Full Share: $ 525
Half Share: $300
I am Paying by Check. Make check paybable to "Treasured Haven Farm"
Pay by Credit, Debit or Bank Card. Invoice me with PayPal. You do not need a PayPal
Account to pay this way.(Registration is not complete until payment is received.)
I will Pick-Up on the Farm
I will pick up at a Drop Site
Preferred drop site at, or near:
Preferred day to receive my share, some sites have only one option:
Some Drop Site areas are still open for hosts and coordinators, call for availability.
YES, I am interested in being a Drop Site Coordinator and Host, if possible.
I learned about Treasured Haven Farm from:
My Favorite Veggies are:
I am interested in Canning or Freezing quantities of:
I want to make sure you have extra of these veggies for storage in my Fall Harvest Box:
I would like Extra Holiday Boxes  (Price and availability TBD) for:
November
December
I am interested in:
Hiking
Bringing My Horse to Ride
Overnight Stays
Helping Weed
 Helping Harvest
Helping on Delivery Days
Cut Flowers
Other:
I understand that joining Treasured Haven Farm CSA involves some risks and that even the good
folks at Treasured Haven Farm doing their absolute best at filling my boxes every week, may
experience a time when weather or pests may foil the best laid plans and reduce expected yields
resulting in less than optimal produce amounts. I further understand that I am responsible for
picking up my box at the given time and if I cannot make it, I need to contact the coordinators to
arrange a time. The coordinator is not responsible for your box after the agreed upon pick-up
time. Please, Contact Us if you are sharing a box with a friend so we can have their contact info
on file.
Comments:

If you requested to pay Online,
you will receive a PayPal Invoice
from Treasured Haven Farm.
Your registration is not complete
until payment is received.

Thank You!
Submit this form and be billed Online with PayPal,
or Print and Mail this form with Check to:
Treasured Haven Farm
53407 Government Road
Rush City, MN 55069