Community Supported Agriculture
Serving Madison & Hamilton Counties and East Central Indiana
CSA Member Agreement
Please print form to complete 16 weeks Please print and send your form in the mail if you purchase online. Purchase Online via Paypal: (Paypal service charge of 3% included in price)
Name: ____________________________________________________
Address: __________________________________________________
__________________________________________________________
Home Phone: _________________Work Phone____________________
Email: ____________________________________________________
Full Family Annual Membership - $400.00 (1 weekly pick up from June 12 through September 25th)
Annual Half Membership--$250.00 (1 weekly pick up from June 12 through September 25th)
Payments and signed subscription form:
Form and checks can be mailed to 7388 N. 750 W., Frankton, IN 46044. Please do not mail cash. Make checks payable to David Anderson.
Share sizes: Family size/full membership (one large box weekly or approximately a full paper grocery sack)
Individual size/half membership (one small box weekly or approximately 1/2 full paper grocery sack)
Pick up day: Saturday, 9AM to 12:00 Noon.
Please complete the CSA Shareholder Agreement below and mail this form and check payable to:
I understand that payment for a full membership of Mission Berry Farms, CSA entitles me to one weekly pick-up of fruits and/or vegetables grown and harvested at Mission Berry Farms. This is a commitment between me and Mission Berry Farms, CSA, and I recognize that I will share in the risks of the growing season along with other members and the farmer. It is my responsibility to pick up my share on time. If I do not pick up my share or have someone pick it up for me, my share will be donated elsewhere. I also understand my payment is considered a share or investment in local produce and that it is non-refundable, and that by signing this agreement I understand the inherent risks associated small farming and the laws of nature—understanding that a poor or bountiful harvest is not guaranteed.
Signed:______________________________ Date: _________________
Printed Name: ________________________
Please print and send your form in the mail if you purchase online.
We look forward to working with you in the coming months & weeks. Thanks for being part of
Thanks,
Farmer Dave