2017 PLUM FRESH! HARVEST SUBSCRIPTION PROGRAM REGISTRATION Member Name: Street Address: City:
State:
Home Phone:
Cell Phone:
Email 1:
Email 2:
Zip:
I have read and agreed to the following Member/Grower Agreement Form: Plum Granny Farm is offering “Plum Fresh!” as a membership subscription program. The program is designed for flexibility for the members – you can let us know if you want to skip a week and payment can be made in advance or on a weekly basis. Weekly box = $30 (plus $4 delivery if desired). Your signature acknowledges that you agree to the following terms of Membership. Members agree to the following responsibilities: 1) Contact the farm in advance to cancel a box or boxes; 2) pre-pay or pay upon pick-up for the box (deliveries must be pre-paid); 3) pick up your box at a predetermined location (see below) or arrange for delivery. If you do not cancel a box by the cut-off time, you will be charged for the box (we’ll be harvesting veggies for you and will have reserved them for you). Additional program guidelines may be added prior to the beginning of the season. You may cancel your membership at any time but if you cancel prior to the first three boxes, you will forfeit your deposit.
Signed:_________________________________________________ Date:_______________ Payment: Please include your deposit (check made out to “Plum Granny Farm”) with this registration form and mail to 1041 Flat Shoals Road, King, NC 27021 Plum Fresh! Harvest Subscription Program Deposit $100.00 -- prepayment for 3 boxes ($90) plus set-up fee ($10) Subsequent boxes can be paid for with cash, check or credit/debit card. PICK-UP OPTIONS Please choose your preferred site
⃝ On-Farm at Plum Granny Farm (Wednesdays from 3-6 p.m.) ⃝ Cobblestone Old Salem Farmers Market (Saturdays from 9-noon) DELIVERY The delivery fee is $4 per box. Delivery is available in limited areas (King area, central and north Winston-Salem, other TBD). ⃝ YES! I am interested in delivery! (Wednesdays late afternoon/early evening.)