Wealth Underground Farm
CSA Member Application
Contact Information:
Name: ______________________________________________ Address: ____________________________________________ City, ST Zip Code: __________________________________ Email: ______________________________________________ Phone #s (home)_____________________(cell)____________
Subscription Choices
_____Full Share $600 (25 weeks: June-November)
A weekly basket full of fresh, seasonal, organicvegetables and herbs
_____Farmer advocate Share $770
Same as Full Share but takes into account a livablewage for the small farmer
Additional Options for Share members
_____Egg Option $75
half dozen/week for entire CSA season
_____Dovetail Bakery Option
fresh bread, cookie dough, pizza dough,morning pastry, Courier coffee beans (see attached application for pricing.)
_______Total (not including Dovetail Bakery order) _______Amount enclosed (
Payment terms: Payment in full (or) $200deposit with registration, in full by May 1
st
. We accept check or cash)
Pickup Location (check one)
_____At The Farm!
Tuesday 4-7pm
14019 NW Newberry Road
_____At Dovetail Bakery 3039 NE Alberta St. (
Corner of
31
st
/Alberta)
Member Agreement
As a member I am aware of the inherent risks of farming, that there is no way of knowing what the nature of each growing season will bring, but I am willing to sharethe risk and reap the benefits along with the farmers. I understand that no refunds forCSA shares will be granted during the season. It is a my responsibility to pick up myshare at my selected pickup site during the designated time period or to send someonein my absence, otherwise my share will be donated to a local nonprofit charity.
________________________________________________Signature____________Date
Farmer Agreement
The goal of the farmers, Chris and Nolan, is to provide each member with abundancethroughout the season, growing a diversity of organic produce to the best of ourabilities. Additionally, we are committed to fostering community around local food byoffering the opportunities for visits and farm-based activities and events.Please hand-deliver to Chris or Nolan (or) mail to Wealth Underground Farm 14019 NWNewberry Road Portland, OR 97231. Email Questions to:wealth.underground@gmail.com
Leave a Comment