| CSA SUBSCRIPTION FORM |
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| Terry Kromer 206 Garr Rd. Easton Pa 18040 610-258-5050 610-703-0850 E-mail: clearspringfarm2@yahoo.com Please complete your personal information below. Please make sure that the curser is located to the far left of the input boxes below where the curser will turn into the I symbol |
| CSA |
| Name: Address: Phone: Work Phone: Cell Phone: Email: Payment: |
| FULL SHARE is $500 in full or $250 now and then the remanining $250 by 5/1/08 HALF SHARE is $275 in full or $138 now and then $137 by 5/1/08 |
| MC |
| VISA |
| We do accept Mastercard and Visa but do to security reasons we do not take them over the internet. If you wish to use a credit card you may select which type. Hit the submit button and we will contact you. |
| FULL SHARE |
| HALF SHARE |
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| ATTENTION!!! The 2008 season sign up is currently full. You are more than welcome to send your information to get on the waiting list for the 2009 season. We are sorry that not everyone could join, but you are more than welcome to come to the farm stand that is open during the season.. Feel free to contact us Thank You |
