Skipper Farms CSA 2012 Application 

Please sign up for our 2012 CSA by completing this application and mailing it in or delivering with your check made payable to Skipper Farms. Please carefully check the correct block to indicate which CSA you are signing up for.  

Send to:

Skipper Farms

3640 Dam Neck Rd.

Va. Beach, VA 23453

Name:__________________________________________________________________

Address:________________________________________________________________

Home Phone:_____________________________________________________________

Cell Phone:______________________________________________________________

E-Mail Address:__________________________________________________________

I would like to sign up for the following:

  (  ) Summer CSA Couple for $377.71 starting May 4,2012 and ending September 28,2012.                 (  ) Summer CSA Family for $563.75 Starting May 4,2012 and ending September 28,2012.                                                                                                                                                                                   

  (  )  CSA Couple share cost of $200.00 for the 2012 Winter/Spring CSA from Feb. 11,2012 through April 28,2012.        

 ( )Family share  cost of $288.00 for the 2012 Winter/Spring CSA from Feb. 11,2012 through  April 28,2012                  

 We accept MasterCard, Visa, Discover                                                                                                                         
I will pick up my Skipper Farms Fall CSA share on Saturdays between 11 am and 5 pm at;

( ) Virginia Beach Farmers Market                                                                                                                                                                                                                                                                                                                                                                                                                                                          

If for any reason a member is unable to pick up their weekly share, arrangements must be made by the member to have someone else pick up the share at the designated location. To maintain top quality, pick ups should be made on the designated Saturday schedule. You should retain a copy of this agreement for your records.

Signature:_____________________________________________________________

Date:_________________________________________________________________

Thank you for choosing Skipper Farms for your CSA! If you have any additional questions e-mail us at Skip1418@aol.com