Heirloom Harvest Community Farm and CSA - Certified Organic Vegetables & Fruit

PO Box 1141, Upton, MA 01568, Phone: 508-686-6013, www.heirloomharvestcsa.com

2019 Shareholder Registration & Agreement Form

__ Farm site: Sunday, 2 pm to 7 pm, 30 Hopkinton Road, Westborough, MA

__ Somerville/Newton (CSA member site, more details after you join): Sunday, 4 pm to 7 pm *

__ Farm site: Tuesday, 2 pm to 7 pm, 30 Hopkinton Road, Westborough, MA

__ EMC Corporation: Tuesday, Pickup starts at 3 pm, Hopkinton, MA (EMPLOYEES ONLY) *

__ Farm site: Thursday, 2 pm to 7 pm, 30 Hopkinton Road, Westborough, MA

__ Alternative Market: Thursday, 3 pm to 7 pm, North Attleboro, MA *

__ Genzyme: Thursday, Pickup starts at 3 pm, Framingham, MA (EMPLOYEES ONLY) *

▢  Full Share - $675

▢  Small Share - $425

Full Share: Feeds 2-4. June-October Season. Full access to Pick-Your-Own, Take Some Items, and Trade Table. *Shares that are driven to off-site locations are pre-boxed.

Small Share: Feeds 1-2. June-October Season.  Your bountiful harvest will be hand-chosen by one of our experienced farm staff, who will box it for your convenient and quick pick-up. Full access to Pick-Your-Own; Take Some Items Included When Available; No Access to Trade Table.

$ _____ Amount Enclosed - You may pay in minimum installments of $200 (Make check payable to Heirloom Harvest - online signup link on farm website)

Farmers experience their greatest expenses before the season begins, so please make every effort to join early to help the farmer to distribute financial resources when they are needed the most. Due in total by June 30th.

Contact Information:

Primary Shareholder Name: _____________________________________________________________

Street Address: _________________________  City, State, Zip:_________________________________

E-mail Address: _________________________ Phone Number: ________________________________