CSA Sign-up Form

KANSAS CITY CENTER FOR URBAN AGRICULTURE

Community Farm CSA 2007 Membership Sign-Up Form

Name: __________________________________________________________________________________

Address: ________________________________________________________________________________

City, State, Zip: __________________________________________________________________________

Daytime Phone: __________________________________________________________________________

Evening Phone: ___________________________________________________________________________

E-Mail: __________________________________________________________________________________

How Many	Size of Share	Full Season	Cost Per	Cost
	Full Share - 21 weeks	May 9-Oct 3 (minus one week off for a “Farmers’ Holiday”)	$390.00	$
	2/3 Share - 21 weeks	May 9-Oct 3 (minus one week off for a “Farmers’ Holiday”)	$260.00	$
	Delivery		$100.00	$
			TOTAL	$
Enclosed (70% minimum deposit required by March 16 unless other arrangements are made. Final balance due on May 10)				$

Please note: July 4 falls on a Wednesday. The CSA pick-up and delivery that week will be on Tuesday, July 3!

To help us in our planning, please tell us:

How many people will be part of your share?

If anyone else in your share would like to receive the weekly emailings, please give us their email addresses:

Have you been a member of a subscription or CSA before?

Is there anything else you think might be helpful for us to know?

Please mail to: KCCUA, PO Box 6043, Kansas City, KS 66106.

Memberships are filled on a first-come, first-served basis.