13290 Tracey Road
Manchester, MI 48158
ph: 734-678-1984
fax: 734-428-7057
twocreek
2010 CSA Membership Application
Two Creeks Organics
13290 Tracey Road Manchester, MI 48158
Name___________________________________
Address________________________________
City____________________Zip______________
Phone__________________
Email________________
I have enclosed full payment in the amount of $600.00 for a full share______
I have enclosed full payment in the amount of $325.00 for a half share_____
I have enclosed a $150.00 deposit for a full share with the balance due by May 1, 2010___
I have enclosed a $150.00 deposit for a half share with the balance due by May 1, 2010___
I would like to pick up my share:
Thursdays at Zingerman's Roadhouse_______
At at the Farm____
Fridays in Saline____________
By submitting my application and payment I am signifying that I have read and agree to the abide by the stipulations on this page.
Please Read Carefully before submitting your application and payment:
of produce that I will receive. The variety and quantity will vary according to the weather and the time of year.
13290 Tracey Road
Manchester, MI 48158
ph: 734-678-1984
fax: 734-428-7057
twocreek