B & L Produce Farm 2018 CSA Program Application

Please print clearly. For any questions, please email us at: [email protected]

You can also reach us at: www.blproducefarm.com https://www.facebook.com/B-L-Produce-Farm-175339905905801 614-394-2126 (my cell – call/text)

Please check if you are a: ______New Member ______Returning Member (Take $10.00 off if returned by January 10, 2018)

Name: ______

Address: ______

City: ______State: ______Zip: ______

Email: ______

Phone (Home) ______Mobile: ______

Please note that communications will occur via email. It is critical that we have a valid (and legible) email address.

Please return this page with a check payable to B & L Produce Farm to the address below. Please keep a copy of this application for your records.

B & L Produce Farm c/o Lynn Bodine 3995 Amherst Road Cridersville, Ohio 45806

Please Select: Please see website for details.

Please look at your options and dates closely…we have made some changes due to our family’s schedule. Please remember you can sign up for more than one option if you so choose. Please let us know if you have any questions. Thank you! Option #1: 15 week CSA - June 20, 2018 – September 26, 2018 (Full Season)

Half-Share (1-2 People) - $250.00 Single Share (2-3 People) - $420.00 Delivery: $55.00 (Local) or $80.00 (Not Local)

XX______(Share Amount) XX______(If Delivered, Delivery Amount or Write Pickup)

Option #2: 10 week CSA - July 11, 2018 - September 12, 2018 (Summer Season)

Half Share (1 – 2 People) - $160.00 Single Share (2 – 3 People) - $250.00 Delivery: $35.00 (Local) or $60.00 (Not Local)

XX______(Share Amount) XX______(If Delivered, Delivery Amount or Write Pickup)

Option #3: Early 5 week CSA - May 2, 2018 – May 30, 2018 (Early Season – Mostly Asparagus, Rhubarb, and Greens)

Half Share (1 -2 People) - $90.00 Single Share (2 – 3 People) - $140.00 Delivery: $20.00 (Local) or $40.00 (Not Local)

XX______(Share Amount) XX______(If Delivered, Delivery Amount or Write Pickup)

Please remember that if you are within 20 miles of our farm then you are considered local delivery. Pickups will be held at the farm on Wednesdays between 4-6 PM. If you choose a delivery, I will call you specifically to set a day that works well with you and others in your area. Our CSA Program is on a first come first serve basis; please send in application as soon as possible to hold your membership.

I agree to the terms delineated in this 2018 CSA application.

Signature: ______

Date: ______