2012 Membership Subscription / Deposit Form |
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Name:
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Mailing Address:
City:
State:
Zip-Code:
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Delivery Location:
E-MAIL:
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Home Phone:
Business/Cell Phone:
FAX:
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Family
Members Names, Children's Ages:
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SIGNATURE:I
accept the risks and rewards of the Peach Valley CSA membership |
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Sign:
Date:
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TOTALS |
Spring Garden........ |
"Share"/Subscription - |
(only one size)....................................... $255.00 |
$
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(mid March
- May - 9 wks)............................................................................** No Spring Garden Delivery to Eagle River Valley |
| Summer Garden .................. Full "Share" Subscription |
(family
of 4 or vegetarian) $565.00 |
$
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| (June
- October - 18- 20 wks).. |
.Half
"Share"/Subscription |
(two adults, garden sampler) $360.00 |
$
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| Summer
Orchard...... . |
.....Full
"Share"/Subscription |
(family
of 4 or vegetarian) $565.00 |
$
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| (June
- October - 18- 20 wks)... . |
.....Half
"Share"/Subscription |
(two adults, fruit sampler) $360.00 |
$
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Winter
Storage |
Full
"Share"/Subscription. (one size) |
** No Winter Delivery ...... $410.00 |
$
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| (November - February; 7 deliveries) |
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to Eagle River Valley |
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Special Orders: |
Summer
Salad Greens - |
18- 20
weeks 1/2 lb bag $150.00 |
$
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| Extras |
Flower/Herbal Bouquets
- |
12 - 13
fresh arrangements $235.00 |
$
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Eggs
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Spring
Summer
Winter
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Full
Share....1 dozen every week |
10-15 dz = $65 |
20-23 dz = $ 115 |
14
-18 dz = $80 |
$
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Half
Share....1 dozen every other week |
5 - 7
dz = $30 |
10-12
dz = $60 |
7- 10
dz = $42 |
$
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| Check
box for more information. |
Canning
Boxes (tomatoes, cukes, beans, peaches,
apples) see projections page
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| Honey - farm raised, raw, unfiltered.. (quart, pint jars... $10 per jar deposit)
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Farm
raised Meat Products: ............................
broiler chicken (Nov-Dec):
($15 per bird deposit) |
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Delivery
Fees: Drop Point |
A
delivery fee is required of each member for each season
purchased. |
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check the box for each season |
Spring
Summer
Winter
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Farm
Pickup - no charge |
9
weeks |
18
weeks |
7
weeks |
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Delivery fees |
Glenwood,
Rifle, New Castle, Silt |
$55.00 |
$75.00 |
$60.00 |
$
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waived
for drop |
Carbondale,
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$65.00 |
$85.00 |
$70.00 |
$
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point
location hosts) |
Basalt,
Eagle |
$72.00 |
$98.00 |
$82.00 |
$
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Old
Snowmass, Edwards |
$84.00 |
$110.00 |
$94.00 |
$
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Aspen,
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$95.00 |
$120.00 |
$110.00 |
$
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$
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Delivery
Fees: Private (added to drop point fee) |
$110.00 |
$125.00 |
$110.00 |
$
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| (within
1 mile of I-70 or Hwy 82) |
*
* No Spring or Winter Season Delivery
Available to Eagle River Valley towns |
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| Membership
Dues: Required of all CSA members (yearly) $35.00 |
$
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| Please
check selections and enter total here: |
TOTAL
DUE = |
$
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| Payment
Options for 2012 Spring / Summer Shares: |
| DEPOSITS (credits) toward coming Spring and Summer Season shares |
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| help to secure your intentions for the year ahead. Deposits are usually made |
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| in November, December. Recommended deposit = $50 per each share desired. |
DEPOSITS
= |
$
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| 1.
Pay Season shares in full by March 1, 2012, and receive a 3% discount |
DISCOUNTS
= |
$
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TOTAL |
$
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2.
30% payment at sign-up ; two payments thereafter (no
discounts) |
PAYING
NOW |
$
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3.
Other plan we agree upon - please comment |
BALANCE Due |
$
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| A
service charge may be added for multiple late payment billings
or share label changes. |
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Members joining after May 15, subject to price changes
and limited share availability. No refunds after July 1. |
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| To Submit this form
please click here one time:
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