WINTER GREEN FARM COAST 2008 MEMBERSHIP FORM

Yes, I would like to share in the healthy harvest!

Name (primary contact)
Address City Zip
Home Phone Other Phone
Email address
Will you split your share with another family? Please include their information:
Name (primary contact)
Address City Zip
Home Phone Other Phone
Email address

Pickup site locations
FLORENCE
Friday Delivery Site
Grape Leaf Restaurant, 1269 Bay St - Florence
REEDSPORT
Friday Delivery Site
Reedsport Farmers Market
COOS BAY/NORTH BEND
Friday Delivery Site
TBA

HARVEST SHARES (includes delivery)
FLORENCE
Standard Season (19 weeks, mid-Jun – mid-Oct) $455 $
Late Season (Additional 5 weeks, mid-Oct – Thanksgiving) $180 $

REEDSPORT
Standard Season (19 weeks, mid-Jun – mid-Oct) $465 $
Late Season (Additional 5 weeks, mid-Oct – Thanksgiving) $185 $

COOS BAY/NORTH BEND
Standard Season (19 weeks, mid-Jun – mid-Oct) $475 $
Late Season (Additional 5 weeks, mid-Oct – Thanksgiving) $190 $

HOME DELIVERY AVAILABLE
(Areas limited. Contact the farm)

DONATION TO FINANCIAL ASSISTANCE FUND $
DONATION TO EDUCATION PROGRAM $
TOTAL DUE FOR SEASON $

Payment Options
Payment in full online by debit or credit card using the secure shopping cart. You will be routed to a page to select the shopping cart option when you submit this form to the farm.

or select one of the following:

Payment in full on signing.
Pay half now, half by August 15
5 Monthly payments (June-Oct).
Monthly payments should be made by the 1st of each month. Payment may be made by check or debit/credit card. Mail checks to address below or call/write farm with credit card payment information.

If you are interested in our financial assistance options, please call Linda at the farm.

FOOD For Lane County
I wish to support the Womenspace Transitional Program with a tax deductible donation.
I am enclosing a separate check made out to: FOOD for Lane County for $

COMMENTS

Please send a copy of our print brochure to:

How did you find out about Winter Green Farm?


Box Notes are seasonal weekly newsletters. They provide farm news and relevant vegetable recipes. Subscribing to Email Box Notes means you will receive a weekly email instead of a paper version at your pick-up site

Please subscribe me to Email Box Notes.
I would like to receive farm communication by email to help conserve paper.

To join us for the 2008 season
When you have entered all the information, click the button below. If you need to delete the information in the form and start over, click the Clear button.


Winter Green Community Farm
89762 Poodle Creek Road
Noti, OR 97461
Phone: (541)935-1920 (outside Eugene area) 866-935-1920
Fax: 935-3615

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