Homeless Garden Project CSA Order FOrm

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Community Supported Agriculture Program (CSA) Order Form

Please print it out, fill out completely, and send to Homeless Garden Project
Before sending a check for a share, please call 426-3609 to check for availability of share.

MEMBERSHIP:
By purchasing a share in our Garden's CSA Program, you directly contribute to our work. The money from your purchase goes to paying wages for our workers, buying seed, purchasing supplies and helps to cover the operating costs of the Garden. The revenue from the CSA Program increases the Garden Project's financial security. Shares are made up of crops suitable to our Garden's climate and vary with the growing season.
SUPPORT SCHOLARSHIP OPPORTUNITIES: You may choose to make a contribution and provide a Share for someone who cannot buy one. Donations to the CSA Program Scholarship Fund are fully tax deductible. Scholarship funding enables low - income families and individuals to receive a Scholarship Share. Make checks payable to: HGP.

Name:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
E-mail:

Pick Up Day: (Please check one) The first Pick Up Day will be in Early June, depending on the weather. We will notify you.: Tuesday 2-6 pm • Natural Bridges Farm
Full Share • Enclosed is my membership check for:: $500 one time payment for the season; $200 deposit with two payments of $150 due on June 15th and August 15th; I would like to sponsor a Scholarship Gift Share with the payment chosen above (tax-deductible)
• Your deposit and full payment up front, helps to get the Garden started!
Half Share • Enclosed is my membership check for:: $300 one time payment for the season; $150 deposit with two payments of $75 due June 15th and August 15th; I would like to sponsor a Scholarship Share with the payment chosen above (tax-deductible)
• Your deposit and full payment up front, helps to get the Garden started!
Scholarship Fund: $25 $50 $100 $250 $500; I would like to donate $ to the CSA Program Scholarship Fund.

**I fully understand this commitment. I assume responsibility to collect my harvest on specified pick up day & recognize the season's weather will determine the produce I will receive.

Signature:_________________________________________

Today's Date:______________________________________

Please return completed form to the Homeless Garden Project address listed above. If you have any questions, or are interested in becoming involved in your community through volunteering, please call us.
Thank you