Holland Farm CSA

Membership Application

HOLLAND FARM

2010 Membership/Agreement Our Commitment to Our Members: Provide fresh, pesticide free vegetables in reasonable quantities at pick up time Provide a positive farm visit for you and your family Stay committed to our CSA members as they are the backbone of the Holland Farm Your Commitment to Us:

Accept fluctuation in harvest due to weather

Pick up vegetables on your designated day. If you cannot pick up personally, please send someone else to pick up your vegetables. In 2010, you will not be allowed to switch days if you miss your pick up day – no exceptions!

Understand that the CSA is one part of the revenue produced on the farm. We also have a farm stand and attend a Farmer’s Market

Name________________________________________________________

Address: ______________________________________________________ ______________________________________________________

email:______________________________Phone:____________________

( ) ½ Membership: $325.00 - Payment due with Form

( ) Full Membership: $500.00

( ) Full Membership in 2 Payments » $250.00 due with form, then $250.00 due June 1, 2010

( ) Pick Your Own (PYO) Flowers - $40.00 – Payment due with form

Payment Method:

( ) Pay with Check

( ) Pay with Paypal

Pick Up Days: First Come, first serve – each day has 50 slots