EmailMe Form - Picadilly Farm Eastern Mass CSA 2012

First Name: *

Last Name: *

Address: *

City *

State: *

Zip Code *

Phone Number *

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

Email *

List additional people below who would like to receive our weekly share newsletter. To keep your same email addresses as 2011, write in "SAME" in the name field below.

Name:

Email:

Name:

Email:

Please choose your share pick up location: *

Please choose your payment plan *

Paid in full $650

$100 deposit now, with two equal payments of $275 due April 1, 2011, and June 1, 2011

$50 deposit now, with six monthly payments of $100 due February 1st through July 1st

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

Picadilly Farm,
264 South Parrish Rd,
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.

Initials: *

Date:

MM / DD / YYYY

Check number:

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

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.

List additional people below who would like to receive our weekly share newsletter. To keep your same email addresses as 2011, write in "SAME" in the name field below.

To complete your share sign-up, please initial and date the agreement below 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 *************

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 ***