| Valley View Farm CSA Shareholder Application 2013 |
Shareholder Contact Information:
Adult Names: ______________________________________________________________________________
Street Address: _____________________________________________________________________________
City: _____________________________ Zip: _________
Phone: ________________________
Email: _________________________
Adult Names: ______________________________________________________________________________
Street Address: _____________________________________________________________________________
City: _____________________________ Zip: _________
Phone: ________________________
Email: _________________________
Share information:
number of shares _______ X $150.00 per share = _________
For planning purposes, please indicate what quantities you will desire of the following for the coming year.
Beef ______ sides ______ whole cow
Pork ______ sides ______ whole pig
Lamb ______ sides ______ whole lamb
Chicken ______
Duck ______
Goose ______
Holiday turkeys _____ (approx size desired ________ )
number of shares _______ X $150.00 per share = _________
For planning purposes, please indicate what quantities you will desire of the following for the coming year.
Beef ______ sides ______ whole cow
Pork ______ sides ______ whole pig
Lamb ______ sides ______ whole lamb
Chicken ______
Duck ______
Goose ______
Holiday turkeys _____ (approx size desired ________ )
Please send completed form along with a non refundable $50.00 deposit to:
| Valley View Farm Attn: CSA 1200 Sopers Mill Rd Auburn, Maine 04210 |
Payment in full due no later than May 15, 2013. We will credit your account with a 10% bonus if payment is received
prior to May 16, 2013. Payments received after that date will not be credited with this bonus. Please make checks
payable to Valley View Farm.
prior to May 16, 2013. Payments received after that date will not be credited with this bonus. Please make checks
payable to Valley View Farm.