CENTRAL PA MEMBERSHIP REGISTRATION FORM

If you’d like to become a member of Spiral Path Farm CSA, please fill in your information and sign the form below. Mail your registration form and payment to:

Spiral Path Farm • 538 Spiral Path Lane • Loysville, PA 17047


Name: ________________________________________________________________________________________
Address Line 1: _________________________________________________________________________________
City: _________________________________________ State: __________________ Zip Code: _______________
Phone: ________________________________________ Email: _________________________________________

New Member   Member Renewal      

First Delivery: May 28th**Last Delivery: November 25th****27 WEEKS****

 Listed below are the pro-rated costs for these dates.

27 weeks remain in the 2008 season. All registration forms must be received by Friday, Noon, May 23rd, to receive your first box delivery May 28th. We will mail you a confirmation and information packet before your first delivery.
 
 

Select Your Share Option & Payment Plan: #of shares
Payment per share
Subtotal
FULL SHARE – a delivery every week (27 weeks)
         
___ Full Payment $570.00 #_____ X$570.00/share $_________
___Installment Plan $570.00- $150.00 deposit due #_____ X$150.00deposit/share $_________
Payments of $140.00 are due June 1, July 1, and August 1 2008
 

 

MEDIUM SHARE – a delivery every week (27 WEEKS)

         
___ Full Payment $378.00 #_____ X$378.00/share $________
___Installment Plan $378.00- $100.00 deposit due #_____ X$100.00deposit/share $________
Payments of $100.00 are due June 1, July 1, and $78.00 due on August 1 2008    

Please make checks payable to Spiral Path Farm. Credit card payment option available only on website.
TOTAL AMOUNT DUE $_________


CSA SHAREHOLDER AGREEMENT
I understand that my payment entitles me to a weekly share of fresh, Certified Organic produce harvested at Spiral Path Farm. I also understand that I am making a commitment to Spiral Path Farm CSA, and recognize that since there is no guarantee on the exact amount of produce I will receive for my share, I will share both the rewards and the risks of the growing season along the other members and farmers. It is my responsibility to pick up my share within scheduled distribution hours (8 AM to 9 PM on Wednesdays) or contact my host, and that if I do not, my share will be donated elsewhere. I also understand that my share payment is non-refundable.

Signed: __________________________________________________________________________


Select Your Pick Up Sites (check one)
WEST SHORE SITES:
Boiling Springs – Lerew Rd. - Petra Wirth Yoga Center Lemoyne - State Street
Camp Hill #1 – Near Holy Spirit Mechanicsburg#1- S. Market-The Rosemary House
Camp Hill #2 - *Currently @ full capacity*
Gettysburg Road-behind Trinity 		Mechanicsburg#2-Creekview Exit behind "Wegmans"
Carlisle #1 - N. Hanover Street New Cumberland - 3rd Street
Carlisle #2 - Walnut Street Newport -2nd Street -Espresso Yourself Cafe
Dillsburg - Leah St. off Orebank Rd behind "Giant" Orr's Bridge Rd Area - Candle Light Drive
Duncannon - Morgan Street Shermans Dale - Rt 34-Kruba Chiropractic
Enola - Brooke Insurance @ "Giant Plaza" Spiral Path Farm
Grantham - RT 15 & Lisburn Rd
   
EAST SHORE SITES:
Colonial Park – Gault Chiropratic Center-Jonestown Rd. Progress Avenue – Progress & Schoolhouse - Schappell Chiropractic
Harrisburg – N. 2nd St.-The Movement Center Union Deposit Road – Briarsdale & Union Deposit - The Family Wellness Center
Hershey #1 – Zurich Drive
Hershey #2 – Orchard Road Hummelstown
Linglestown - Linglestown Life United methodist Church - Mountain Rd.
Lower Swatara - off Spring Garden Street
Palmyra - W. Main Street (The Cinderella Shoppe)
 

Once we receive your registration, look for a more detailed confirmation letter with pick-up information plus more in your snail-mailbox. Along with your produce share each week, you will receive recipes and the Spiral Path Farm Newsletter.

Please feel free to contact us with any questions.

(717) 789-4433  •  www.spiralpathfarm.com  •  E-Mail Us