common good farm : 2012 pledge form

By becoming a CSA share member, I understand the bounty & risks of this
relationship & agree to pledge my share of the 2012 budget.

1.Name___________________________________________­­­_

address/zip__________________________________________

phone: h & w________________________________________

phone: cell _________________________________________

e-mail______________________________________________

signature___________________________________________
(Partner #1 is considered financially responsible)

2. Share partner___________________________________________

address/zip_________________________________________

phone: h & w________________________________________

cell: _______________________________________________

e-mail______________________________________________

signature___________________________________________

Monday or Thursday harvest ________ (we try to honor, but need a balance)  

Payment:

   ____$360 full payment encl.

   ____$180 deposit encl.: ($180 additional payment due by 6/1/12)

   ____$20 Share partner fee PER SHARE

   ____Supporting member pledge: suggested $30 or more

   ____$50 deposit for Fall Harvest Box 2012

   _____ Other

   ____ TOTAL enclosed

Mail checks payable to Common Good Farm. Send to:
17201 NW 40th St, Raymond NE 68428.

THANK YOU!