2010 CSA Membership Registration
Name:
Address:
City:
State:
Zip
:
Your Email Address (REQUIRED):
Your Phone Number(s):
Returning Member
NEW Member
Referred to Treasured Haven Farm by:
Our Summer CSA season runs from mid June until to mid October, approximately 16-18 weeks.
Shares are sold on first come, first served basis. Shares and sites are limited in availability.
Further details of Treasured Haven Farm's CSA are available on our Membership Info page
on the farm's website at www.treasuredhavenfarm.com
CHOOSE YOUR SHARE:
Weekly LARGE Share: $ 540
Every Other Week LARGE Share: $325
Weekly BASIC Share: $ 440
Every Other Week BASIC Share: $270
Weekly SMALL Share: $340
Every Other Week SMALL Share: $215
Add $25 to the above pricing
for FLEX Scheduling Your Weeks
Contact Farm for BULK SHARES
See website for more details on all share options..
Every Other Week LARGE CUSTOM
Share: $400
Weekly LARGE CUSTOM Share: $ 675
I will receive a variety of vegetables, but would like my box to have extra:(see member info)
Standard
Mixed
Roots
Cabbage
Squash
Adventure
Greens
PICK-UP OPTIONS
I will pick up at a Drop Site
I will Pick-Up on the Farm
Preferred drop site at, or near:
YES, I am interested in being a Drop Site Coordinator and Host, if available in my area.
PAYMENT OPTIONS   Registration not complete without payment.
I am Paying by Check. Make check payable to "Treasured Haven Farm"
We appreciate check payments to save on processing fees. Thanks!
Pay by Credit, Debit or Bank Card. Invoice me with PayPal. You do not need a PayPal
Account to pay this way. You will be invoiced from Treasured Haven Farm.
All registered members will be sent an interest and crop survey for your favorite veggies
and farm activities, and what you would like to have available for canning
and fall harvest boxes to help guarantee we plan according to our members desires.
I am interested in coming to the farm for visits, or to
do cultivating, harvesting, hiking, etc. Please List.
I know a group that would like to do Fundraising on the farm:
I understand that joining Treasured Haven Farm CSA, or any CSA, involves some risks and
that even the good folks on the 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 amounts of certain crops. 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 Site Host, or Treasured Haven Farm, to arrange an alternative time. The Site
Coordinator or Host 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, however, sharing weekly or every other week boxes is NOT recommended.
PRINT A COPY for Your Records BEFORE SUBMITTING
After successful submission, you will receive a "Thank You" page. If you do not
receive that notification, please resubmit and email to make sure your registration
has been sent as some browsers have issues with our form.
Comments, Questions, or Additional Contact Info:
Print Form,
Submit Online to Hold Your Space,
Mail Completed Form with Check Payment.
OR
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!
Treasured Haven Farm
320-358-3581
www.treasuredhavenfarm.com
csa@treasuredhavenfarm.com
Print Completed Form,
Submit after Printing to Hold Your Space,
and Mail this form with Check to:
OR Submit this Form
and be Invoiced Online with PayPal.
Treasured Haven Farm
53407 Government Road
Rush City, MN 55069