2008 Sign-Up Form

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PeaceWeaver Organic Community Farm

2008 SIGN UP FORM

Name: _______________________________________________________
Address: _____________________________________________________
_____________________________________________________

Phone # (day): _____________________ (eve):______________________

E-mail: ____________________________

Share Reserve your share today with 50% deposit. First come, first served!

Half share – individual or couple Full share – couple or


family

I am signing up for a:
• ½ share (working) $200 ______
• ½ share (non-working) $300 ______
• Full Share (working) $300 ______
• Full Share (non-working) $400 ______
• EARLY BIRD DISCOUNT -$50 ______
st
(if you pay in full by March 1 !)
• Total Share Cost ______
• Amount Enclosed ______
• Remaining Balance due June 1st ______

**Deposit due by April 1st to reserve your share for 2008**

MC/VISA/DISC/AMEX # ____________________ Exp date_____

Work Day MONDAY 5PM - 7PM THURSDAY 10AM - NOON


(Working members circle one)
OR
Pick-up Day MONDAY 7PM - 8PM THURSDAY NOON - 2PM
(Non-working members circle one)

Checks should be made out to the PeaceWeavers. Copy this for your records and send to
PeaceWeaver Organic Community Farm at 8125 Crouse Road, Bath, NY 14810.

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