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REQUIRED FIELDS are *
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Name:*
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Address:*
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City, State:*
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Zip Code: *
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Email Address (REQUIRED *):
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Phone Number(s):
one number required *
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How many years have
you been in any CSA,
including this year?*
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Referred to Treasured Haven Farm by:
If you found us on the internet,
please be specific as to site you found us on,
or what words you searched. Thanks! *
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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
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CHOOSE YOUR SHARE: *
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I will receive a variety of vegetables,
but would like my box to have extra of these items,
if possible: (see member info page)
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OTHER:
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PICK-UP OPTIONS
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Preferred drop sites at, or near: *
Scroll Down for more Options
You can choose multiple options if they will work for you
by using the ctrl key when selecting.
However, your share will be delivered to only one location.
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As of 4/25/10, if your first
choice of site is SOLD OUT,
we will contact you within 24
hours for other options.
We have held open many of
our sites by relocating some
members to new locations,
but many sites will be
FILLED shortly!
Email is best with questions
about sites as we are now
outside working more than in
the office during the day!
Thanks!
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YES, I am interested in being a Drop Site Coordinator and Host, if available in my area.
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Any comments about Drop Sites
or Hosting a Site or List Order of Preference:
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I prefer another location not listed:
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PAYMENT OPTIONS* Registration not complete without payment.
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I am Paying by Check. Make check payable to "Treasured Haven Farm"
We appreciate check payments to save on costly processing fees. Thanks!
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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 emailed an invoiced from Treasured Haven Farm through PayPal.
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I want to come to the farm for (to):
Use ctrl when selecting all that apply.
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I want to help with:
Use ctrl when selecting all that apply.
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OTHER:
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OTHER:
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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.
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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.
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PRINT A COPY for Your Records BEFORE SUBMITTING
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After successful submission, you will receive a "Thank You for Joining Us" page. If
you do not receive that notification and instead get a blank white page, we did not
receive your registration. The problem is usually with Firefox Browsers that have a
certain security setting that prevents your successful submission.
Using Internet Explorer or another browser usually resolves the problem.
If difficulties persist, email us and we can forward you a pdf or word doc.
Thanks and Sorry for any Inconvenience!
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Questions, Comments, or Additional Contact Info:
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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 via email.
Your Registration is not complete
until payment is received.
Thank You!
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Treasured Haven Farm
320-358-3581
www.treasuredhavenfarm.com
csa@treasuredhavenfarm.com
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