East River Organic Farm 2017 CSA Application Form

Last NameFirst

Street

CityStateZip

Home PhoneWork PhoneCell

E-mail Number of People in your household:

Type of Share (please choose one)

______Family Garden Space $975 (20 week program)

______Family Share $640(16 week season)

______Half Share $360 (8 boxes within the full season)

(We currently deliver to Clarkston, Rochester, Birmingham and Royal Oak)

Pick-up Days and Times

Clarkson and Rochester pick up is at the Farmers Market on Saturdays. Birmingham is at the Farmers Market on Sunday and Royal Oak is Wednesday afternoon/evening.

What veggies do you like the most?

Please rank the following vegetables by preference

(1)A Must , can’t get enough(4) A little goes a long way

(2)A Favorite, use large quantities(5) I wouldn’t eat it as a kid, I won’t eat it now

(3)Use moderate amounts

_____Basil_____ Leeks_____ Sweet Corn

_____ Beets_____ Lettuces_____ Tomatoes

_____ Broccoli_____ Onions_____ Turnips

_____ Brussels Sprouts_____ Parsley_____ Watermelon

_____ Cabbage_____ Parsnips_____ Winter Squash

_____ Cantaloupe_____ Peas_____ Zucchini

_____ Carrots_____ Peppers (hot)_____ Asparagus

_____ Cauliflower_____ Peppers (sweet)_____ Strawberries

_____ Cilantro_____ Potatoes_____ Rhubarb

_____ Cucumbers_____ Pumpkins_____ Other

_____ Eggplant_____ Radishes_____ Other

_____ Garlic_____ Rutabagas_____ Other

_____ Green Beans_____ Scallions_____ Other

_____ Kohlrabi_____ Summer Squash_____ Other

I am also interested in:

_____ BeefOrganic Freezer Beef– quarter, half or whole - $3.85 per pound on the hanging weight

plus processing

_____ ChickenOrganic Whole Heritage Chickens – order for late summer - $4.25 per pound

(ave. 4.25 pounds each)

_____ TurkeyOrganic Whole HeritageTurkeys – order for Thanksgiving - $4.25 per pound

_____ EggsOrganic Eggs - $6.00 per dozen – order for each distribution in dozen

I would like to participate in the following farm activities: (optional)

_____ Greenhouse work_____ Field Work_____ Harvesting

_____ Planning Committee_____ Newsletter_____ Advertising

_____ Cooking Classes_____ Canning_____ Picnics

_____ Hay Rides_____ Seasonal Celebrations_____ Other

Payment Plan

I prefer to pay:

_____ In Full - Payment due at sign-up

_____ Monthly –Family Garden Space - $195 at sign up and $195 per month for 4 months

Full Share - $128 at sign-up and $128 per month for 4 months

Bi-weekly share - $72 at sign-up and $72 per month for 4 months

I understand that I am buying a share in a community supported farm, not a specific amount of produce. I am entitled, though, to my equal share of the farm production. I understand that there are risks involved in farming, and I am willing to share those risks with this farm in order to secure my food source.

SignedDate

Send this Application to:

East River Organic Farm

2265 N. Oxford Road

Oxford, MI 48371

810-404-1723 Les

586-612-4887 Elizabeth

Email: