Forms available at the Rhode Theater Saturdays 10-2pm You can also copy/paste and printout this form.
RIVERWOOD
PRODUCE FARM 2017 CSA SIGNUP
Regular Share (20
weeks) x $20 $400 _$_________ ½ Share (20 weeks) x
$10 $200 _$_________ ½ Share every other
week (10 weeks) x $20 $200 _$_________ Start 5/20__ or 5/27__
Chicken Share #___
months x $37 _$_________
TOTAL _$_________
Starts Saturday May 20
Thru September 30, 2017
Each week you’ll
receive the bounty of the garden from that week. Your Choice!!
Your weekly pickups
will be made at Harbor Market.
Some weeks there may
be items with a limit so everyone gets their share.
Pastured Poultry
Don’t forget the
meat. 5-6lb roasting chickens, raised
without antibiotics or hormones on Riverwood Produce Farm. Chickens are fresh frozen whole for monthly
pick up.
2 chickens per month -
$37 per month.
Please indicate the
months you would like to pick up chickens.
Jan__Feb__March__April__May
__ June__ July__ Aug__ Sept__ Oct __ Nov__Dec__
Payment Options:
Option 1 – Pay in full
– Send a check with signed application and payment.
Option 2 – If paying
with three payments – divide total by three (February, March, April)
send ALL three
checks with 1/3 total
amounts, dated the first of each month, with completed and signed
application. Bonus, option 3 – Early payment bonus, pay in full by the end
of Jan 2017 and I’ll add 1 free week at the end of the 2017 season. (Full share
$40 value-1/2 share $20 value)
CHECKS MADE PAYABLE
TO: RIVERWOOD PRODUCE FARM By becoming a member
of Riverwood Produce Farm CSA, I agree to commit to the full season, picking up
my produce on my designated day and times; I understand that if I miss my pick
up, my produce will be donated to the local food pantry if other
arrangements aren’t made. I
understand that this is a season long commitment between Riverwood Produce Farm
and me. No refunds.
Banking missed weeks
due to vacations is fine. You just need
to use them up by the last week of the season.
Print
Name____________________________________________
Signed
___________________________________________ Date________________
Address______________________________________
Phone#__________________
Email (print
clearly)________________________________________________________
Print and mail this
form with payment to:
Riverwood Produce Farm
2920 7th Street Kenosha WI
53140
Any Questions Call
Mike Toboyek at 262-914-5696 www.riverwoodproducefarm.com
