2016 Flying S Farms CSA Application

For the 2016 Season we will have Full and Half Shares available every week and Full and Half Bi-Weekly Shares available every other week. Free Range Chicken Eggs are also available this season to our members. Our season begins June 1 through October 22. Upon registration we will send you an email of confirmation and include you in our email newsletter when available.

Name:______________________________________________________

Address:____________________________________________________

City and Zip (Tennesee only):___________________________________

Daytime Phone:______________________Evening:________________

Email:_________________________________________Do you Text:   Yes   or   No

Plan Selection: Pay in Full or a deposit of 1/2 down by February 28th and balance due by April 4th
                _____Full Share - 21 Weeks @ $735.00  or  _______ 1/2 down $367.50                
                _____Half Share(s) 21 Weeks @ $420.00 or  _______ 1/2 down $210.00
                _____Bi-Weekly FULL Share 11 Weeks @ $445.00 or _______ 1/2 down $222.50
                _____Bi-Weekly HALF Share 11 Weeks @ $335.00 or  _______ 1/2 down $167.00
                _____Free Range Egg Share (1 dozen) - 21 Weeks @ $92.00 or _____ 1/2 down $46.00
_____Free Range Egg Share (1 dozen) - 11 Weeks @ $48.00 or _____ 1/2 down $24.00
Desired Pickup Location: (Check One)
_______East Nashville Farmers' Market (210 S. Tenth Street); Wednesday 3:30 to 6pm
_______Our farm in Woodbury; by appointment
_______Franklin Farmers' Market; Saturday 8 to Noon
_______Stones River Locally Grown Market Pick Up Location; Wednesday 4:30 to 6pm
_______Other Drop Off Option or Private Delivery available, fee to be determined:
              Specify location or address____________________________________________
The CSA concept includes a sharing of risk. We cannot control the weather. However, we will do our best to provide what we have planned, but if we have a natural disaster that ruins our crops, we thank you for supporting us and sharing the risk. Please initial: ______

Payment Methods: Payment may be made by Check or money order to address below. We also accept most Major Credit Cards, there will be an additional 4% service fee for credit card use. For security reasons, please call us with your card information (Cell: 615-542-1078)

Flying S Farms
PO Box 456
Woodbury, Tn 37190