CSA Order Form
Available shares
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Farm Box
Regular share - 6-10 items
$
25.00
CAD
Amount
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Eggs Share(Chicken)
Per dozen
$
5.00
CAD
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Baked Goods Share
Regular share - 1 Loaf Bread, 1 dozen cookies
$
10.00
CAD
Quantity
0
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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.
$
20.00
CAD
Administration Fee
This is a non refundable fee which is added to the first invoice.
$
15.00
CAD
Name
*
First Name
Last Name
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mode of Payment
*
Check
Bank Transfer
Other
Payment Plan
*
Full
Installment: Weekly
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