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Rare Earth Farm 2008 Agreement Form Complete the following form and return it with your payment to address printed below.
___________________________________________________________________________________________________ Name Please Print Date Phone No. _______________________________________________________________________________________ Street City Zip Preferred drop-off
e-mail address: ____________________________________ New Member Returning Member Check the appropriate box(s) Vegetable share: *All Vegetable shares sold out for 2008 I would like to receive one share of the 2008 vegetable harvest. Total season cost= $500.00
I would like to receive one share of the 2008 harvest. Enclosed is $250.00 and I agree to send a second payment of $250.00 by May 31st .** Egg share: *All Egg shares sold out for 2008 I would like to receive along with my vegetable share, one dozen eggs every week totaling 21 dozen. Total season cost = $60.00
I would like to receive along with my vegetable share, one dozen eggs every other week totaling 12 dozen. Total season cost = $34.00
Total Enclosed_____________ (If you are splitting a share with another family print their name and address on the back of this form. Please send your individual payments in the same envelope.)
** If you choose to make a partial payment, your final payment needs to be received by May 31st to stay enrolled in the program.
Formal Agreement I want to participate in the 2008 CSA program at Rare Earth Farm. In submission of this form I accept all conditions and terms of this program. As a subscription member I fully accept sharing the risk of crop failure from all factors beyond the farmers control knowing it may affect the availability of certain crops and the amounts that I'll receive throughout the season.
Make checks payable and return to: Rare Earth Farm c/o Steve Young 6806 Hwy KW Belgium, WI 53004
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