SIGN UP NOW! - Paraland Organic Farm

PARALAND 2015 CSA SUMMER SEASON SIGNUP FORM
First Name:
Last Name:
Account #:
Address:
City:
Postal Code:
Email Address:
Referred By:
Preferred Box:
Summer Weekly @ 20 Weeks
Summer Bi-Weekly
Egg Option:
Weekly @ 20 Weeks
Bi-Weekly
Early Subscription
20
Special Price
weeks
@ 10% OFF
Small
$400
Medium
$600
Large
$800
Small
$200
Medium
$300
Large
$400
1/2 Dozen Large Size
$50
Full Dozen Large Size
$100
1/2 Dozen Large Size
$25
Full Dozen Large Size
$50
Small
$360/ Bi-$180
Medium
$540/ Bi-$270
Large
$720/ Bi-$360
Box Deposit::
$10
Special Requirements:
Allergy Notice:
Total:
We accept payment by check. Please make your check payable to “Paraland Organic Farm” and mail it
with this form duly completed to 2653 Chemin du Fief, Vaudreuil-Dorion, QC, J7V 0K4. Or scan the
form to paralandorganicfarm@gmail.com.
CONDITIONS - CSA BASKETS
I wish to become a partner in the Paraland Organic Farm. I understand that I will receive my choice of 10 or 20 weeks of organically
grown vegetables picked from Paraland Organic Farm. I understand that I will reap the benefits of the harvest season: fresh vegetables
available as they mature, and sold at a fair price. I also accept to share the risks that are part of the farming business – inclement weather,
pestilence and disease are factors that may affect the quantity and quality of the harvest, and may result in some vegetables not being
supplied. However, I am assured that I will receive my fair share of the total vegetables produced by the farm.
Signature: _________________________
Date: __________________________