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Anastas Farms, LLC
2012 CSA Application
Name (please print) ___________________________________________________
Street Address_______________________________________________________
City, State, and Zip Code__________________________________________
Day Phone___________________Evening Phone______________________
e-Mail Address________________________________________________
Check One:
____Full Share, $450, 18 weeks of vegetables from June to October.
____Half Share, $350, 9 weeks of vegetables every other week from June to October.
Preferred Pick-up Site: (check one)
____Sunday, 4pm to 6pm, Lakeville, MA
____Monday, 4pm to 6pm, Lakeville, MA
Payment method (check one)
____Check
____Credit Card at farm, call for appointment.
Please print and mail this form, with a check payable to Anastas Farms, LLC if applicable, to:
Anastas Farms, LLC
P. O. Box 710
Middleborough, MA 02346
I understand that I am committing to the CSA share for the entire season, and that commitment involves sharing both the risks and rewards of the CSA share. I also understand that it is my responsibility to pick up my share each week within the scheduled pick-up time, and that if I do not, my share will be donated to a local food pantry. _____I accept this risk.
Signature _______________________
Print Name______________________
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