Robeson County Farmers Market

Community Supported Agriculture

Application for Late Spring 2015

May 6 -June 10, 2015

Please submit this Application by 6:00 p.m. on May 4, 2015

Contact Information:

Name: ______Home Phone: ______

Address: ______Cell Phone: ______

______Work Phone: ______

E-Mail: ______

Employer: Hospital? ______UNCP? ______RC Schools? ______County? ______City? ______

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Order Information:

Produce

Half ____ $33.00 (5 weeks)

or 25 pts. 5/week

Regular ____ $65.00 (5 weeks)

or50 pts. 10/week

Beef ____ $70.00 (3 deliveries)

Eggs ____ $11.00 (3 deliveries)

Total $________

Basket Type:

_____ Traditional CSA Basket

_____ Optional CSA Basket (Points can be used all at once or each week to order from the available produce list by Monday at 1:00 pm.)

Location Information:

_____ UNCP 5:00 – 6:00 p.m.

_____ Biggs Park Mall 3:00 – 6:30 p.m.

May - June Late Spring CSA Schedule
Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
3 / 4 / 5
Reminder Email Sent / 6
1st CSA
Pick-up / 7 / 8 / 9
10 / 11 / 12
Reminder Email Sent / 13
2nd CSA Pick-up / 14 / 15 / 16
17 / 18 / 19
Reminder Email Sent / 20
3rd CSA Pick-up / 21 / 22 / 23
24 / 25 / 26
Reminder Email Sent / 27
4th CSA Pick-up / 28 / 29 / 30
31 / 1 / 2
Reminder Email Sent / 3
5th CSA Pick-up / 4 / 5 / 6
7 / 8 / 9 / 10
CSA Weather Day / 11 / 12
Early Summer Applications Due / 13

Submit Application To:

Website: robesoncofarmersmarket.com on the CSA page

E-mail: r

Phone: (910)258-7677

You should receive an e-mail confirmation, of your order, within 2 business days or by noon the Monday before the CSA starts. If you do not receive a confirmationplease call Anna Marie Hatcher to fill out an application over the phone. A copy of this application will then be left with your shares for your signature.

Making a Payment:

***All payments must be mailed to the address below.

Payments will no longer be taken during distribution or at pick-up locations. ***

Please mail your payment to:Robeson County Farmers Market

c/o Paul Buie

3241 Tolarsville Road, St Pauls, NC 28384.

Participant Responsibility:

It is the responsibility of the participant to pick up their CSA Share/s. An email reminder will be sent to all available addresses by noon the day before the CSA pick-up. Please call Anna Marie Hatcher at 910-258-7677 as soon as you know your basket can not be picked-up. Baskets will not be held after pick-up locations are closed, they will be donated.

Baskets and Hot/Cold Bags: are provided as a convenience to our members. Numbers are assigned as participant applications are received for the year. If you had a numbered basket in 2014 you will have the same number in 2015. Please do not use baskets or bags for personal items. The hot/cold bags are provided for the beef, chicken, and egg shares to streamline distribution and should be returned in an odor free usable condition. At the final distribution of each session the participant may use the basket if they are participating in the next CSA Session. If they are not participating in the next session shares will be packaged in a grocery bag.

I ______agree to and have read the above statements in regards to the

Printed Name

Robeson County Farmers Market CSA program information and responsibilities.

______

Signed Name Date

We would like to thank you so much for your support and participation. Without the support of all of our farmers, participants and volunteers this program would not be possible.

Gratefully,

Anna Marie Hatcher and SarinaMaynor

Robeson County Farmers Market CSA Coordinators

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Robeson County Market Use Only:

Payment Type:

Cash/Check ______Amount ______Date ______Verified By ______

Away: Wk 1 ______Wk 2 ______Wk 3 ______Wk 4 ______Wk 5 ______

Double: Wk 1 ______Wk 2 ______Wk 3 ______Wk 4 ______Wk 5 ______

Prorated: Wk 1 ______Wk 2 ______Wk 3 ______Wk 4 ______Wk 5 ______