2009 CSA Membership
Printable Order Form
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Sign Me Up!
Name___________________________________________________________
Address_________________________________________________________
________________________________________________________________
City_________________________________State____________ZIP________
Email___________________________________________________________
Phone (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.
____Full Share: $ 525.00
____Half Share: $ 300.00
____Every Other Week Large Share: $325
____I am Paying by Check: Make payable to "Treasured Haven Farm"
____Invoice me with PayPal (Reservation is not complete until payment is made)
I will get my weekly box at: ____ Pick-Up at the Farm ____Drop Site
____Drop site at, or near _________________________________________
Day of Week (some sites have only one option)____________________
Some Drop Site areas are still open for coordinators, call for availability and incentives for
Drop Site Hosts. I want to be a Drop Site Coordinator: ____
My Favorite Veggies are:____________________________________________
________________________________________________________________
____I want to make sure you have extras of these veggies for storage in my Fall
Harvest Box_______________________________________________________
____I am interested in Canning and Freezing quantities of __________________
______________________________________________________________
I would like Extra Holiday Boxes (Price/Availability TBD) for: ___Nov ___Dec
I am interested in ____Cut Flowers ____Hiking ____Overnight Stays
____Bringing My Horse to Ride ____Helping Weed ____Helping Harvest
____Helping on Delivery Days ____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.
Either Pay Online with PayPal
or Mail this form with Check to:
Treasured Haven Farm
53407 Government Road
Rush City, MN 55069
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