CSA TLV Egg Share

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. E-mail Address: *This question is required.

4. Street Address: *This question is required.

5. Apt. Number: (If applicable)

6. City: *This question is required.

7. State: *This question is required.

8. Postal Code: *This question is required.

9. Phone Number: *This question is required.

10. Secondary Phone Number:

11. What type of Egg share will you be purchasing? *This question is required.

Please read and acknowledge these Terms and Conditions before continuing.

a) If you are unable to make a pickup one week and don't have a way of getting someone to pick it up you, we will not refund your money. (Your share will be donated to Grass Roots in Howard County, Maryland or the Glenelg Food Pantry)

c) I understand that farming is seasonal and highly dependent on weather and other environmental influences.

d) I understand that if I don't pick up my share in the time frame of the CSA pickup. There is no guarantee of the freshness if arrangements are made after the pickup time frame. If no arrangements have been made prior to pick up then the share will be donated to Grass Roots of Howard County, Maryland.

e) I understand that the pick-up for my share is at TLV Tree Farm, 15155 Triadelphia Mill Rd, Glenelg MD 21737 from 4:00pm to 7:00pm, Thursday unless noted due to weather related problems.

12. I have read and understand the terms and conditions of the TLV Tree Farm CSA. By clicking Below I agree to the terms and conditions. *This question is required.

13. How did you hear about our CSA? (DOES, WHC Opening Day, GreenFest, Visiting the Farm, etc. )

Payment Plan:

We have three options for our CSA members.

Option 1: Mail full payment to TLV Tree Farm 15155 Triadelphia Mill Rd, Glenelg MD 21737

Option 2: Mail half payment to TLV Tree Farm 15155 Triadelphia Mill Rd, Glenelg MD 21737 and mail second half to TLV Tree Farm 15155 Triadelphia Mill Rd, Glenelg MD 21737 by July 23rd, 2015.

Option 3: Credit Card payment, please call 410.489.4460 and we will take payment over the phone.

14. Which payment plan will you be utilizing? *This question is required.

Note: Your payment is what confirms your space in the CSA. This application only holds a spot for you.

CSA TLV Egg Share

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