Klug Orchards CSA2017 Agreement Form PRODUCE CSA

(Primary Shareholder name must be included on all checks)

Name(Last, First) ______

Street Address ______

City, State, Zip ______

Phone # ______

email Address ______

Membership Commitment

I pledge to PickUp my __1__ share/shares of mixed vegetables, herbs, fruits, flowers, jams @ our Klug Orchard’s CSA discretion as to varieties each week. Each share will contain approx. 30% extra value with Jan. payment cost vs same items @ Market reg weekly costs. Season Members save $ 75 to $150 vs non member Market shoppers! Additional fruits or produce may be available @pickup for an additional individual amount weekly, Pls check directly.Note 2017 sign up options have Fresh Produce ONLY. If you wish to do meats through our Additional MEAT ONLY CSA for Fresh, Frozen Home raised Beef, Lamb availabilities !

DATES ARE : 12 wks,TH.6/8 to 8/24 20wks,6/8to 10/19

Please check one: ON Farm: CALL forMarket Pickup Date,Time,Locations **JanuaryMember PRODUCE sign up Pricing**PickupSouth Bend, IN:

Drive/Sign Pickup at Our Original Klug Orchards

___$275.- Farm OR Mkt Pickup 12 weeks Klug Orchards Booth's 112&114 Tues,Thur, Saturdays

___$450.-Farm OR Mkt Pickup 20 weeks 8405 Pokagon Rd. Chicagoland Pickup Days- Tues: Federal

Feb Memb $ 285/12 wk, $465/20 wkMktsBerrien Ctr. MI 49102Wed: Ravinia 7-1, Grays Lake 3-7

MarMemb $ 295/12 wk, $480/20 wkMktsat Large Brown Thurs: Daley Plaza, StJoeMi

April Memb $ 305/12 wk, $495/20 wk Mkts Pole Building Sat: Willmette, Edgebrook, MayMemb $ 315/12 wk, $510/20 wk Mkts NorthField, Nettlehorst school lot

June Memb $ 325/12 wk, $525/20 wkMkts Sundays:BuffaloGrove,17wks(-3 weeks share pmt) 2nd & 4th Sun: Independence Park(1/2 $)
NEW 2017- Thurs Box Pickup St Joseph MI, Green Harbor Health Foods NilesAve 4-6pm!

(NOTE: AT Market Pickup Locations Members ARE ABLE to select OWN items at Market of $30 Market value weekly, CSAs do get 30% more produce per Dollar than Nonmembers with January Membership! ALSO , Wholesale Quantity if available additional 10% OFF members , plus Farm gleaning #2 misc, available only as members & Free !:-) *NOTE*Market Pickups 7am-12pmONLY. We want our Members to receive the freshest value, quality & selection. *After 12pm (5 hrs) nopickup nor discounts, any unClaimed food shares may be donated to Food Pantries of our discretion, Thank you! *

Please make checks payable to: “Klug Orchards”

Mail ADDRESS to: 8533 Pokagon Rd. Berrien Center, MI 49102 Ph/fax (269) 684-3311

Websites “KlugOrchards.com” “LocalHarvest.org” Klug Orchards CSA site EMAIL:

____ Full payment of ______is enclosedon this date ______for ______site Pickup Location THIS FORM must be completed even if paying via PAYPAL on KLUGORCHARDS.COM page site

_____I have a specific allergy to a genre of produce request and ask to avoid this, accepting my Farms substitute in advance:______

I understand that this is a community supported venture and that, although our Klug Orchards Green Organic is committed to the best ability to provide high quality produce and flowers, there are risks in agriculture which are innate & understood by the whole community of member partners. I also understand that it is my personal responsibility to timely pick up my share at the farm or at one of the Market sites each week though out the 2017 growing season.I am fully aware that it is necessary to inspect and wash all produce thoroughly before consuming. Kevin, his workers, his farm, all other CSA members and administrators, and the buildings we use to pick up our shares and their administrators and employees have no liability in terms of the safety of my food once off premises nor while Im visiting on the premises voluntarily in any situation and I hold them harmless in this partnership for shared ownership of my direct farm food connection.

I will pick up my share:_____On Farm 8405 Pokagon Rd. Thursday 3:30pm – 6:30pm

OR WHICH______( Name of Farmers Market PickupLocation/Date)

7am to 12 noon, or 1st 5 hrs only :-)

Name on Share Pick up:

______

Signed ______Date ______

We’re looking forward to an abundant year ahead. See our LocalHarvest.org Klug Orchards CSA site for more info. Please copy this Agreement for your records and send us original with payment. Thank you for Partnering with us to Steward and Enjoy the Bounty our Creator has provided!Kevin& Cathy Klug Revised 03-0717