Moss Hill Farm
Local, Fresh, Sustainable
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2018 Moss Hill Farm CSA Application - Full Share

Full Share Application

MOSS HILL FARM 2018 CSA APPLICATION - FULL SHARE

 Please fill out and mail with payment for your reservation.

Floyd Keisler

Moss Hill Farm

13230 Freemanville Rd

Milton, Ga 30004

 Name(s)_____________________________________________

Address:_____________________________________________

___________________________________________________

Email addresses (for newsletters and communication):

 ___________________________________________________

Phone:__________________________________

 Choose a Seasonal Share Option (check box to right):

1. Spring Share --- 10 weeks from April 11th to June 13th for

            $420  .....      []

2. Summer share -- 12 weeks from June 20th to Sept. 5th                         $504   .....      []

3. Fall Share ------ 10 weeks from Sept. 12th to Nov. 14th                        $420    .....     []

     Discount of 5% for purchasing  3  shares at same time

 

  A confirmation of acceptance will be sent within 1 week.

 We accept cash or checks made out to Floyd Keisler.

Check #_________   Enclosed amount $___________

 Location for pickup:

 Pickup at the farm on Wednesdays from 1-2:00 pm, and Saturdays 10-12;00 am. 

Choice of which day: ____________________________________

Please initial that you understand and will comply with the information on our website on the CSA policies/manual page and will sign the Release and Waiver of Liabilities and Claims. They are located at the link below.  __________

 

www.MossHillFarm.net

floydkeisler@gmail.com

770-815-2815

 

E-newsletter will be sent out each week the night before the pick-up day with information about the farm, recipes, and what is available in the shares. (We use e-mail for farm communications only. We do not share your e-mail address with anyone else.)