CSA Registration Form
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
Here is a copy of the CSA Registration form. I couldn't figure out how to make it live (so you could enter info).
If you would like to register please copy and past into an email or call us and let us know, so we can bring you/
email you a registration form.
Phone- (206)850-5422
Email pranafarms@yahoo.com
Prana Farms CSA Registration
Name____________________________________________________
Address_________________________________________________________________
Phone # ___________________________________________________________
# of members in household____________
Shares can be paid for seasonally or monthly. We require a deposit of your first month
payment to reserve your share. This year we are only offering 50 CSA shares so we
are expected to fill up quickly. Once we are full we will have a waiting list and make
efforts to expand gradually. If paying seasonally payment is due before the first week
of pickup of each season. If paying monthly payment is due the last pickup of each
calendar month for the coming month.
Which CSA share are you interested in
_____ Main Summer Season Share May - August
_____Standard Share $560 Seasonally or $140/month
_____Large Share $720 Seasonally or $180/month
_____Half Share $400 Seasonally or $100/ month
______Fall Season Share September – November
_____ Standard Share $420 Seasonally $140/ month
______Large Share $540 Seasonally or $180/month
______Half Share $300 Seasonally or $100/month
______Spring Season Share February- April
______Standard Share $420 Seasonally $140/month
______Large Share $540 Seasonally $180/month
______Half Share $300 Seasonally or $100/month
All shares are a minimum 1 month subscription.
There is a five dollar per week charge for home delivery or special arrangement drop
offs (where available)
Please select the location in which you would like to pick up your produce.
________________________________________________________________________
Would you like us to include Farm Fresh Free Range eggs with your box ($6/doz extra)?
__________ how many doz?_________(If yes someone must be available when box is
delivered, as eggs are perishable)
Do you have any food allergies or restrictions?____________________________
__________________________________________________________________
_______________________
Name
¬¬¬¬¬¬¬¬¬¬¬¬¬
Date
If you would like to register please copy and past into an email or call us and let us know, so we can bring you/
email you a registration form.
Phone- (206)850-5422
Email pranafarms@yahoo.com
Prana Farms CSA Registration
Name____________________________________________________
Address_________________________________________________________________
Phone # ___________________________________________________________
# of members in household____________
Shares can be paid for seasonally or monthly. We require a deposit of your first month
payment to reserve your share. This year we are only offering 50 CSA shares so we
are expected to fill up quickly. Once we are full we will have a waiting list and make
efforts to expand gradually. If paying seasonally payment is due before the first week
of pickup of each season. If paying monthly payment is due the last pickup of each
calendar month for the coming month.
Which CSA share are you interested in
_____ Main Summer Season Share May - August
_____Standard Share $560 Seasonally or $140/month
_____Large Share $720 Seasonally or $180/month
_____Half Share $400 Seasonally or $100/ month
______Fall Season Share September – November
_____ Standard Share $420 Seasonally $140/ month
______Large Share $540 Seasonally or $180/month
______Half Share $300 Seasonally or $100/month
______Spring Season Share February- April
______Standard Share $420 Seasonally $140/month
______Large Share $540 Seasonally $180/month
______Half Share $300 Seasonally or $100/month
All shares are a minimum 1 month subscription.
There is a five dollar per week charge for home delivery or special arrangement drop
offs (where available)
Please select the location in which you would like to pick up your produce.
________________________________________________________________________
Would you like us to include Farm Fresh Free Range eggs with your box ($6/doz extra)?
__________ how many doz?_________(If yes someone must be available when box is
delivered, as eggs are perishable)
Do you have any food allergies or restrictions?____________________________
__________________________________________________________________
_______________________
Name
¬¬¬¬¬¬¬¬¬¬¬¬¬
Date