2010 Farm to Folk Membership Form
First Name
*
Last Name
Address
*
City
*
State, Zip
*
email
*
phone
*
Share partner Name
Share partner Address
Share partner City
Share partner State, Zip
Share partner email
phone
Annual Membership fee $15
*
Iowa Fresh Veggie share @ $250 Sold out for 2010
Onion Creek Full Veggie share @ $410 Sold out for 2010
Onion Creek Half Veggie share @ $217 Sold out for 2010
Small Potatoes Veggie share @ $474 Sold out for 2010
Small Potatoes Extended share @ $128 Sold out for 2010
Small Potatoes Greens share @ $75
Berry Patch Fruit Subscription @ $95 Sold out for 2010
Picket Fence 20 week dairy beginning May 25, 2010
Donation to assist low income families
I want to start an a la carte account. Suggested deposit $50
a la carte account
I will pay as follows:
*
one payment with this order
three payments: Feb 1, Mar 1, April 1
Other payment plan
I'm interested in financial assistance
I'd like to volunteer at the distribution site
yes
no
maybe
Comments, questions, special requests:
Member agreement: I would like to become a member of Farm to Folk. I understand that farming is not exact and that I will share in both the bounty and risks of the farmers. I further understand that the growers for F2F agree to tend to the planting, cultivating, and harvesting of produce to the best of their ability and cannot be held liable for adverse growing conditions. By submitting this form you agree with the above statement.
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