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Peach Valley CSA Member Subscription Form

2017***Summer Shares Sold Out***

Name:
Mailing Address:
City:
State:
Zip:
Delivery Location: Email:
Select Your Contact Location Select Your Contact Location Home Phone Business Phone Cell Phone		Home Phone: Business Phone: Cell Phone:
Family Members: Names / Ages (optional):
Signature: I accept the risks and rewards of the Peach Valley CSA Membership:
Sign: Date:
Spring Garden	One Share Size Only	Spring Garden Shares	$285
(March – May : 7 wks)................** No Spring Garden Delivery to Eagle River Valley **
Summer Garden	Full Share / Subscription	Family of 4 or vegetarian ***Summer Shares Sold Out***	$610
Summer Garden	Half Share / Subscription	Two adults, garden sampler***Summer Shares Sold Out***	$410
Summer Garden runs June - October - 18 - 20 Weeks
Summer Orchard	Full Share / Subscription	Family of 4 or vegetarian ***Summer Shares Sold Out***	$610
Summer Orchard	Half Share / Subscription	Two adults, fruit sampler***Summer Shares Sold Out***	$410
Winter Storage	Full Share / Subscription	No Winter Delivery to Eagle River Valley	$460
(Nov - Feb – 1 delivery per month)
Extras	Summer Salad Greens	18 - 20 weeks - 1/2 LB Bag***Summer Shares Sold Out***	$160
	Flower / Herbal Bouquets	12 - 13 Fresh Arrangements	$240
	Eggs:
Eggs	Spring	Full Share (Appx 1 Dz every week) 14-16Dz......	$100
Eggs	Spring	Half Share (Appx 1 Dz every other week) 7-9Dz...	$55
Eggs	Summer	Full Share (Appx 1 Dz every week) 20-23Dz......	$135
Eggs	Summer	Half Share (Appx 1 Dz every other week)10-12Dz.	$70
Eggs	Winter	Full Share (Appx 1 Dz every week)14-16 Dz......	$100
Eggs	Winter	Half Share (Appx 1 Dz every other week) 7-9 Dz...	$55
	Canning Boxes	Tomatoes, cukes, beans, peaches, apples - see projections page
	Honey	Honey – Western Colorado …Limbach Farms…(Qt, Pt Jars) deposit / each	$10.00
	Farm Raised Turkey	non - GMO, pastured turkeys - November - $20 Deposit

Delivery Fees: Drop Point - A delivery fee is required of each member for each season purchased
Check box for each season	Spring	Summer	Winter
Farm Pickup - No Charge	9 Weeks	18 Weeks	4 Weeks
Glenwood, Rifle, New Castle, Silt	$55	$75	$60
Carbondale	$65	$85	$70
Basalt, Eagle	$75	$100	$80
Old Snowmass, Edwards	$85	$110	$90
Aspen	$95	$120	$110
Delivery Fees: Private (added to drop point fee) Within 1 mile of I-70 or HWY 82	$110	$125	$110
**Delivery Fees waived for drop point location hosts**
**No Spring or Winter Season Delivery Available to Eagle River Valley Towns**

Membership Dues: Required of all CSA members (yearly)	$35
Your grand total of every selection you have made (click button)	Total:	$
Payment Options for Shares (select one)
1. Pay In Full by March 1 and receive a 3% discount		$
2. 30% Payment at Signup; Two Payments Thereafter(No Discount)		$
3.Other Plan We Agree upon
A service charge may be added for multiple late payment billings or share label changes.
Members joining after May 15, subject to price changes and limited share availability. No refunds after July 1.

**A copy of this form will be emailed to the email address you provided above** Please leave any comments here as needed. Captcha Enter Captcha Code For Security Purposes : *