Salt Creek Valley Farm CSA 2017 Application

Contact Information
Name                       _____________________________________________________________
Street Address   _____________________________________________________________
City, State, Zip     _____________________________________________________________
Home Phone        _____________________________________________________________
Cell Phone            _____________________________________________________________
E-mail address      _____________________________________________________________

Share Type
_____    Full Share  (produce for 4+ people)     $500
_____    Half Share  (produce for 2 people)       $250

You can pay for your share in full by June 1st, or pay 50% on April 1st and 25% on May 1st and the remaining 25% on June 1st.

You may send this application via mail with your payment, or copy/paste the information above and send it in an email to saltcreekvalleyfarm@yahoo.com.

Thank you for your support!