2018 CSA SHARE ORDER FORM
WEDNESDAY FARM PICKUP

PLEASE PUT A "1" IN THE QUANTITY BOX ON THE LEFT FOR EACH PAYMENT YOU WISH TO MAKE
THESE ARE NOT AUTOMATIC PAYMENTS
YOU WILL HAVE TO MAKE EACH PAYMENT AS IT BECOMES DUE
SELECT ONLY THE PAYMENTS YOU WISH TO CHARGE TODAY

Quantity Description Price
OPTION 1: PAY IN FULL
Select no other options if you pay in full please.
$959


OPTION 2: MAKE FIVE PAYMENTS
Share price of $959

Payment 1 due at signup
$291
Payment 2 due May 15th $167
Payment 3 due June 15th $167
Payment 4 due July 15th $167
Payment 5 due August 15th $167


OPTION 3: MAKE A CUSTOMIZED PAYMENT
Use this option to pay a different amount.
Enter 1 in the box to the left, and the amount of payment in the box to the right.