CSA Membership Form

Membership Type	Weeks of Delivery	Cost
Half (On Farm)	20	$300
Half w/ Delivery (Indy or Other)	20	$330
Full (On Farm)	20	$480
Full w/ Delivery (Indy or Other)	20	$510
Share-a-Share	Help provide shares for needy families	Donatione
Membership Size*
*Specify $ Amount for Share-a-Share in comment section below.
Pick-up Site*
*Specify possible pick-up location in comment section below.
*Option will appear after you submit form.
Comments
How did you hear about us?*
Name of person who told you

2010 Victory Acres CSA Farm Membership Application Form