Bates Hilltop Troqu Garden 2015 CSA Application Form

Welcome to the Bates Hilltop Troqu Garden Community Supported Agriculture (CSA).
Shares are sold on a first come first served basis and are available until we are sold out.
Please read, fill out, sign and mail back this application form with check(s) payable to Bates
Hilltop Troqu Garden for the share and purchase amount you choose and mail it with your
application form to us. After receiving your application form and payment we will contact
you within 6 weeks by e-mail or phone to confirm the pick up location and day. We also will
let you know when crop harvest begins via our weekly Facebook posts so that we may begin serving you!

Bates Hilltop Troqu Garden CSA Program Application

Our season runs from approximately May through October (approximately 20 weeks)
weather and season dependent. As a member, I commit myself to supporting Bates Hilltop
Troqu Garden with my ideas, input, and membership share.
I understand that as a member of the CSA I will receive:
Option 1: a weekly full share of produce (approx. 1 bushel size with an average of 4 to 10
items per week or more) at $514/share/about 20 weeks ~May through October
Option 2: a weekly half share of produce (approx. 1/2 bushel size with an average of 4 to 10
items per week or more) for $280/share/about 10 weeks ~May through October

I commit to pick up or send my representative to pick up my weekly share at the agreed

upon pickup point, day and time below.

Optimal Health Center

11791 W 112th St
Suit 100
Overland Park, KS 66210
Wednesday 4-7 pm
Starting the Week of May 27th running until September 30th, 2015

Memberships can be paid with a single payment or may be split into 2 payments, half at
time of application and the other half with a check post dated by May 27, 2015. Make
check(s) payable to Bates Hilltop Troqu Garden . Include both checks with your application the post dated check WILL NOT be cashed till May 27th, 2015.

I understand that if I or my representative do not pick up my share it will be given to

the needy at a local food bank. I do not expect to have my share saved.

I understand the harvest shares will vary in size, weight and amount with the season,
lightest early and late in the season, and heaviest mid season. I understand that the
types of produce available will vary with the time of season (see website for produce
availability chart).

I understand that the varieties of produce and quantities listed are approximations of
the produce I will receive and is highly dependent on growing conditions, weather, rainfall, disease and insect outbreaks and other production factors that vary from season to
season and that the risks and benefits of the harvest are shared (see attached sheet for
produce planted).

I understand that all shareholders receive the same variety of produce and I cannot
choose what goes in my bag.

I understand that I am investing in a fertile local farm that is dependent on normal

weather conditions to be most productive. There is some risk of crop failure, which we
attempt to minimize by growing a wide variety of crops, succession cropping, continued
planting of crops, using raised beds for drainage and irrigation of our crops, however
Mother Nature determines the final harvest if any.

I understand that there will be no refunds.

Bates Hilltop Troqu Garden agrees to make all reasonable efforts to protect your investment in the 2015 crop and to deliver your share to the designated pickup site at the
scheduled dates and times. If delivery times need to be changed due to unforeseen circumstances, all members affected will be notified in advance of such changes.

I understand that all of the produce is selectively hand harvested, but it is still possible
that some insects, weather lesions and soil may be present, especially in rainy weather.
It is your responsibility to wash thoroughly all of the produce you receive before consumption. All produce is packed into shares soon after picking right out of the field.

I understand that home grown produce unlike shipped in produce is not always uniform
in quality, appearance and size.

I understand the produce has NOT received post harvest treatments of fungicides, insecticides, fumigants or waxes after harvest and/or at shipping like much conventional
shipped in grocery store produce and simple bruising during transporting can result in
spoiling.

Our family of pickers attempt to remove badly damaged produce before it is packed,
however, some may unintentionally get placed in your bag or be damaged in transit occasionally. It is my right to call Max Bates at (402)883-2468 or e-mail bhtgardens@gmail.com within 24 hours of pick up and inform Bates Hilltop Troqu Garden if
this happens and replacement will be negotiated.

Bates Hilltop Troqu Garden 2015 CSA Application Form

I have read and understand the Bates Hilltop Troqu Garden CSA (Community Supported
Agriculture) method of growing produce, the harvest, availability, packing, and pick up system, registration, cost, and payment.
I prefer to invest by: (check one)
Paying in full by check/credit card * with this application.

____ Full Share (20 wks) $557.69 includes KS

______ Half

___ Making 2 payments of $278.85 (for a full share only), half by check due at the time
of application ,the remaining amount will be a check post dated for May 27, 2015
(second check WILL NOT be cashed till May 27, 2015) .

food sales tax

Share (10 wks) $303.80 includes KS food sales tax

Checks made payable to: Bates Hilltop Troqu Garden

I, _________________________________ (Member Signature) commit to membership in

the Bates Hilltop Troqu Garden CSA for the 2015 season.
Date________________
Fill in your contact information below:
Name ______________________________________________________________
Address ___________________________________________Apt ____________
City ______________________ State ____________ Zip ____________
Day Phone ______________________ Evening Phone _________________________
E mail address_______________________________________________________
Please sign and mail this application form with your payment to:
Bates Hilltop Troqu Garden
72017 643rd Ave
Stella, NE 68442
*there will be a $11.00 fee applied to credit card purchases
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