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CSA Subscription Form

Thank you for supporting the family farm. (Note that if every Michigan family bought $10 a week of local Michigan fruits and vegetables, it would keep $37 million new dollars each week for you right here at home - Michigan Department of Agriculture)

Nottawa Fruit Farm agrees to provide the subscriber with 12 boxes of Farm Fresh Produce in the following months: June-2; July-3; August-3; September-3; October-1. The assortment will vary throughout the season and every attempt will be made to acheive a variety depending on the growing season.

You will be notified of the exact dates per month which will be determined based on the weather at a later date. Due to the vary perishable nature of Farm-Fresh Produce, dates can be delayed or deferred.

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SUBSCRIBER & GROWER AGREEMENT

Name_________________________________________Phone:_________________________

P.O. Box or Street/Road Address__________________________________________________

City_______________________________________State____________Zip________________

Valid E-Mail Address:__________________________________________

Full Subscription Price is $224.00; included in the total is a $24 deposit fee of which $2 will be returned for each set of returned containers. The subscriber will receive twelve (12) of the 'specially-prepared' boxes of fresh home-grown produce throughout the season (June-October). Partial subscriptions (your choice of months) are available at $20 each, plus the $2 deposit. Notification of Pick-Up dates is done via the newsletter enclosed with each box. Pick-up days are typically Fridays of the designated week. Subscriber assumes responsibility for pick-ups.

I would like a Full Subscription of 12 Boxes for $224, includes deposit _____________(initials)

I would like a Partial Subscription of ________Boxes for $22, includes deposit___________(initials).

I would like the folloing pick-up location _____________________________________. The determiner being that there are five subscribers at this location; mileage restrictions apply.

Yes, I will pick up my boxes at the Farm Market____________________(please initial this line).

Signature___________________________________________________Date______________

In May, 2010, please remit appropriate amount via personal check or credit card number to:

Nottawa Fruit Farm
24878 Hwy M-86
Sturgis, MI 49091

Grower Signature_____________________________________________Date______________

A copy of this form with the grower's signature will be returned to you assuring your reservation and will serve as your confirmation. After payment, you will be notified via e-mail of the date of first box.

Thank You for Supporting the Family Farm