EmailMe Form - Picadilly Farm CSA Share 2012

First Name: *

Last Name: *

Address: *

City *

State: *

Zip Code *

Phone Number *

### - ### - ####

Email *

If you are a new shareholder, how did you hear about Picadilly Farm?

We send our e-newsletter each Saturday morning. Feel welcome to list additional people below who would like to receive the news. To keep your list of addresses from 2011, just type in "SAME".

Name:

Email:

Name:

Email:

Full Season Share – 25 weeks, June to Thanksgiving *

$600-650: Superstar supporter!

$575: This is our cost to produce each Full Season share.

$500-550: Low income/subsidized share, available for sign-ups before April 15th.

No Full Season Share

Summer Season Share – 12 weeks, late June to mid September *

$350: Superstar supporter!

$320: This is our cost to produce each Summer Season share.

$285-$310: Low income/subsidized share, available for sign-ups before April 15th.

No Summer Season Share

December Share –Two pre-packed December boxes. $75. If we offer a longer winter share for 2012-13, we will give priority for those shares to December shareholders. *

Yes

No

Choose a pick up place: *

I’ll pick up my share at the farm.

Keene pick-up at Cheshire Medical Center

Keene pick up at Keene State College, Child Development Center

Greenfield pick up

Brattleboro pick up at Fair Winds Farm

Choose a payment plan: *

Full share payment enclosed.

$100 deposit enclosed. Two equal payments due, one by April 15th and one at the first share distribution in June.

$50 deposit enclosed. Six equal payments then due monthly, from February to July, 2011.

I’ve already made a different payment arrangement with the farmers.

Total Share Price commitment: *

To complete your share sign-up, please initial and date the agreement and send your deposit to:

Picadilly Farm,
264 South Parrish Road,
Winchester, NH 03470

Agreement:

I understand that Picadilly Farm is a Community Supported farm, and I agree to share with Jenny and Bruce the risks and rewards inherent in growing food.

Check number:

Name on check, if different from the name listed on the share:

Date

MM / DD / YYYY

Initials: *

Thanks so much for joining us for the 2012 season. Your early participation supports our farm through the planning in the winter, and planting in the spring. We look forward to growing for you! --Jenny & Bruce

To Complete Share Sign-Up *******

***To finish your share sign-up, please fill in the security box below and click “send email”.***

***if the email doesn’t send, double check that you’ve filled in all of the boxes that are starred in red.***

We send our e-newsletter each Saturday morning. Feel welcome to list additional people below who would like to receive the news. To keep your list of addresses from 2011, just type in "SAME".

To complete your share sign-up, please initial and date the agreement and send your deposit to:

Agreement:

Thanks so much for joining us for the 2012 season. Your early participation supports our farm through the planning in the winter, and planting in the spring. We look forward to growing for you! --Jenny & Bruce

********** To Complete Share Sign-Up *****************

To Complete Share Sign-Up *******