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Upland Hills CSA, Oxford, MI, 2009 Application Form
Hello! We are excited and thinking green because of all the plans and energy that have been given to the Upland Hills CSA project. We have a great organic farmer in Les Roggenbuck. In addition, Matt Vance is a wonderful biologist and conservationist, who will be overseeing restoration of the land and introducing indigenous plants to help bring friendly pollinators and restore soil to support our farmer’s wonderful organic practices. We are planning for our season to start sometime in June and run into September for a total of 16 weeks. 50 Shares being sold on a first come first serve basis! 
Last Name FirstStreetCity State ZipHome Phone Work Phone CellE-mail Number of People in your household:
Group email is invaluable for communicating to our members. Will you read our emails? Yes____ No____ 
 
Type of Share
(please choose one, a $100 deposit today, reserves your share)
 _____ Full Share: $500 = 16 weeks ($450, If paid in full before April 15
th
) _____ Working Share: $400 = 16 weeks ($350, If paid in full before April 15
th
)
Work shares; expect 2 hours per week depending on number of work shares. Work shares will be billed as a full share if 3 working periods are missed.
 
I prefer to pay: _____ In Full - Payment due at sign-up _____ Monthly - Full Share: $100 at sign-up and $100 per month for 4 months _____ Monthly - Working Share: $100 at sign-up and $75 per month for 4 months
Pick-up Days and Times
Please rank your first (1) and second (2) preferred pick-up days and times. _____ Monday _____ Morning _____ Tuesday _____ Noon _____ Wednesday _____ Afternoon _____ Thursday _____ Evening _____ Friday _____ SaturdayShares are available for pickup twice per week, days and times to be determined.Other pickup sites to be determined, estimated extra $50 fee.
 
What veggies do you like the most?
Please rank the following vegetables by preference(1) A Must, can’t get enough (4) A little goes a long way(2) A Favorite, use large quantities (5) I wouldn’t eat it as a kid, I won’t eat it now(3) Use moderate amounts _____ Basil _____ Leeks _____ Sweet Corn _____ Beets _____ Lettuces _____ Tomatoes _____ Broccoli _____ Onions _____ Turnips _____ Brussels Sprouts _____ Parsley _____ Watermelon _____ Cabbage _____ Parsnips _____ Winter Squash _____ Cantaloupe _____ Peas _____ Zucchini _____ Carrots _____ Peppers (hot) _____ Asparagus _____ Cauliflower _____ Peppers (sweet) _____ Strawberries _____ Cilantro _____ Potatoes _____ Rhubarb _____ Cucumbers _____ Pumpkins _____ Other _____ Eggplant _____ Radishes _____ Other _____ Garlic _____ Rutabagas _____ Other _____ Green Beans _____ Scallions _____ Other _____ Kohlrabi _____ Summer Squash _____ Other
I would like to participate in the following farm activities: (optional)
 _____ Greenhouse work _____ Field Work _____ Harvesting _____ Planning Committee _____ Newsletter _____ Advertising _____ Cooking Classes _____ Canning _____ Picnics _____ Hay Rides _____ Seasonal Celebrations _____ Other
Organic Certification:
 _____ Means a Lot to Me _____ Is important _____ I can see how you farm, certification is not necessary _____ I just want fresh and local, organic is not that important to me
I understand that I am buying a share in a community supported farm, not a specific amount of produce. I am entitled, though, to my equal share of the farm production. I understand that there are risks involved in farming, and I am willing to share those risks with this farm in order to secure my food source.
Signed Date
Please mail this application to:
Upland Hills CSAC/O Upland Hills SchoolAttn: Terry Gardner2575 Indian Lake RoadOxford, MI 48370248-823-1876 phone877-572-6088 faxEmail:uplandhillscsa@gmail.com
 
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