Member Contract Sedona
WHIPSTONE FARM
Sedona Member Contract 2012
Name: ____________________________________________________________
Mailing Address_____________________________________________________
City___________________________________________Zip_________________
Phone home:_______________work_________________Cell________________
Email:______________________________________________________________
If you are splitting a share, please include your share partners information as well:
Name: ____________________________________________________________ Mailing Address_____________________________________________________ City___________________________________________Zip_________________ Phone home:_______________work_________________Cell________________ Email:______________________________________________________________
Pick Up Location: ___ Connolly's Farmers Market in Sedona (wednesdays)
How did you hear about us?
From our Brochure
At Connolly's Farmers Market
From our Website
From a friend (please tell us who)
Some other source (please specify)
COST and PAYMENT OPTIONS
The total cost is $650 for the season - beginning of May through the end of October
______ $50 due with contract to hold your spot
______ Payment in Full: $600 due March 1, 2012 (if deposit is not prepaid $650 is due March 1)
______ Two Payments: $350 due March 1, 2012; $250 due July 1, 2011 (If deposit is not prepaid $400 is due Mar 1, $250 is due July 1)
______Additional amount towards the Farm Share Fund $______________ (to help give CSA shares to families in need)
please make checks payable to: WHIPSTONE FARM
As a member of the Whipstone Farm CSA, I understand that my payment does not guarantee me an exact amount of produce. I am making a commitment to support Whipstone Farm and to share in the rewards and the risks of the growing season. I also understand that my payments are non-refundable. It is my responsibility to pick up my share at the designated time and place. I understand that if I am out of town or otherwise unable to receive my share at any time during the season, I am responsible for contacting someone to gather my produce or it will be donated to a local food bank.
_________________________________ _______________
Signature Date
Mail this form along with your check to:
Whipstone Farm
21640 N. Juniper Ridge Rd.
Paulden, AZ 86334