I'd like to purchase a share of the 2009 Harvest at Honey Brook Farm. By completing this form and returning it with my payment, I agree that the share selection and quantity will be determined by actual weekly harvest, and I will be responsible for picking up my share for the 17 week season.

Full Name:________________________________________

Address:__________________________________________City____________________ Poatal Code:__________

Phone:____________ E-mail:_____________________

Share: Half share $200 (for 1-2 people) O Full Share $370 (for 3-4 people) O Family share $450 (4-6 people) O

Pick-up: SSM Farmers Market Wed. O SSM Farmers Market Sat. O Blind River Farmers Market Sat.O Farm Gate. O

Payment: Please make your check payable to Sheree Mcgee

Please note: A limited number of shares are available for 2009. Your share is reserved when we receive your information and cheque.

Your signature: __________________________ Date:______________

Please mail this form with your cheque to: Sheree Mcgee, 76 Chiblow Lake Road, Iron Bridge, On. P0R 1H0

For additional information call: 705-843-0867 E-mail: honeybrookorganic@yahoo.ca

Honey Brook Farm CSA form
Please print this form and fill it out.
and mail to address below
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E-mail: honeybrookorganic@yahoo.ca
Honeybrook Farm
76 Chiblow Lake Road
Iron Bridge, Ont., Canada
(705) 843-0867
Honeybrook Farm All Natural Produce