CSA Order Form

Available shares

Farm Box

Regular share - 6-10 items

$25.00CAD Amount

Eggs Share(Chicken)

Per dozen

$5.00CAD Amount

Baked Goods Share

Regular share - 1 Loaf Bread, 1 dozen cookies

$10.00CAD Quantity

Box Deposit

We will supply the box you just need to make sure it come back each week. At the end of the season if you return the box then the deposit is returned.

$20.00CAD

Administration Fee

This is a non refundable fee which is added to the first invoice.

$15.00CAD

Total

$0.00CAD

Name*

First NameLast Name

Phone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

CheckBank TransferOther

FullInstallment: Weekly

Any allergies or comments?