2021 CSA APPLICATION – Lawndale Farm

Name *

First

Last

Address (City, State, Zip)

Preferred Phone Number *

Email *

Harvest Share Pick Up Options *

Small Share (1/4 bushel) $219.00 Tuesday 1-7pm
Small Share (1/4 bushel) $219.00 Thursday 1-7pm
Small Share (1/4 bushel) $219.00 Friday 1-7pm
Medium Share (1/2 bushel) $419.00 Tuesday 1-7pm
Medium Share (1/2 bushel) $419.00 Thursday 1-7pm
Medium Share (1/2 bushel) $419.00 Friday 1-7pm
Full Share (1 bushel) $525.00 Tuesday 1-7pm
Full Share (1 bushel) $525.00 Thursday 1-7pm
Full Share (1 bushel) $525.00 Friday 1-7pm

TOTAL DUE: $

We accept cash,Venmo, Zelle, PayPal, Visa, MasterCard, Discover and American Express and check payable to Lawndale Farm. NOTE: Credit cards will incur a 3% processing fee. For check please sent to: Lawndale Farm Doug Times 89 Frost Road Tyngsborough, MA 01879 - 1124 Telephone number for credit card: 978.808.6164 - Doug, or Ken 617.513.1482 Please call for Venmo, Zelle, or PayPal id

CSA Shareholder Agreement *

YES

I agree to purchase a farm share in the Lawndale Farm CSA for the 2021 growing season. I acknowledge and agree that, although Lawndale Farm is committed to providing high quality produce throughout the growing season there are risks in agriculture (e.g. poor weather, drought, disease, early frost and crop failure etc.) that are ultimately shared the members and the farm. I acknowledge and agree that there is no guarantee of the exact amount or types of produce that i will receive in my share. I understand that I or my representative am agreeing to pick up my share each week on the day and time that I choose.

SIGNATURE: *

DATE: *