Membership Subscriptions: (Please Check One)

Fred & Virginia Miller

6612 Kennebec Road

Willow Springs, NC 27592

(919) 618-5601

Spring /Summer CSA

2018Membership Form

Membership Subscriptions: (please check one)

18 Weeks - Full Share $495.00 _____ Workshare $455 _____

10 Weeks - Half Share $315.00 _____ Workshare $275 _____

Weekly deliveries and pick-ups start April 21stand run through August 30th (except for July 4th week)

Please Designated a Dropsites:(please check one)

The Farm -Tuesdays: 4:00 to 6:00 PM - 6612 Kennebec Rd., Willow Springs_____

The Farm -Saturdays: 10:00 am to noon - 6612 Kennebec Rd., Willow Springs_____

Raleigh -Thursdays: 3:30 box drop-off - Raleigh Wine Shop, 126S. Glenwood Ave. _____

Raleigh -Thursdays 4:00box drop-off -Harmony Farms, 5653 Creedmore Rd _____

Cary -Thursdays: 4:30 box drop-off -Wholefoods, Waverly Place Shopping Center _____

HollySprings -Thursdays: 5:00 box drop-off - Bombshell Beer Co.120 Quantum Dr. _____

How It Works:

A Full Share Membership includes a weekly box of produce that you pick up at the farm on either Tuesday or Saturday or at the Raleigh/Cary area dropsites.Half Share Members get the same amount of produce each week but choose10 weeks during the season to pick-up their shares. Half shares are available at any of the dropsites listed below.

Work share members also receive the same amount of produce as Full or Half share members except at a discounted price in exchangefor 6 hours work on the farm sometime during the season. Must be at least 16 years of age to work.

Members fill their own boxes from the variety of produce available each week at the farm. Members receive a pre-packaged box of produce at the Ral/Cary/HS dropsites. The farm will fill boxes with an alternating selection of products to offer variety.

Please notify the farm in advance if you plan to miss a week by email or callFred’s cell phone at 919-618-5601.You mayalso have someone else pickup for you to avoid forfeiting your weekly share. No refunds for unused weeks or weather-related loss.

All start and ending dates and quantities of produce are dependent on the weather. Although, we try very hard to supply each week with an average of $25 worth of organic produce (excluding sales tax), please know that it is an average spread out over the course of the season and some weeks may be larger than others.

Members assume the risk and bounty that nature provides!

Primary Member:

Print name:______

Phone: Home ______Work______Cell______

Email Address: ______

Other Member(opt):

Print name:______

Phone: Home ______Work ______Cell______

Email Address______

Please, print and mail form and your check back to us, payable to Hilltop Farms or email the form and use PayPal on our website. A minimum of $150is due at signing. Any remaining balance can be split into in 2 payments for Full Share members due at 30 days and 60 days or 1 additional payment for Half Share members due in 30 days.

Please save a copy of this form for future reference! Amount Included $______

THANKS!