Season CSA
Broad Branch Farm - 2018 CSA Signup Form Name Home Delivery Address City, State, Zip Cell or Daytime Phone Email(s) ___________________________________________________________________________________________________
OR, Choose Custom Share
Full Share Price
Vegetable CSA FULL SHARE (Home delivery every other Thursday, 12 weeks, June – Nov.)
$360
Peoria Area – Start Date June 7th Naperville Area – Start Date June 14th
CUSTOM SHARE __________# of boxes x $30/box Include Custom Share Schedule Sheet
Add Sales Tax Below
Print Schedule Sheet:
FULL SHARE
$84
__________# of shares x $84.00/share (Home delivery every other Thursday, 12 weeks, June – Nov.) Peoria Area – Start Date June 7th
Total
OR, Choose Custom Share
Full Share Price
Egg CSA
Total
CUSTOM SHARE __________# of dozens x $7.00/doz Include Custom Share Schedule Sheet Print Schedule Sheet at: www.broadbranchfarm.com
Naperville Area – Start Date June 14th
Pastured and Grassfed Meat CSA Delivered Once Per Month
Full Share
OR, Choose Custom Share Month(s)
6 Total Deliveries June-November
Price Per Month
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef · Chicken
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef · Pork
$690
June
July
Aug
Sept
Oct
Nov
$115
Pork · Chicken
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef Only
$690
June
July
Aug
Sept
Oct
Nov
$115
Pork Only
$495
June
July
Aug
Sept
Oct
Nov
$83
Chicken Only
$495
June
July
Aug
Sept
Oct
Nov
$83
Wild Alaskan Coho Salmon, 3 lbs. per delivery
$288
June
July
Aug
Sept
Oct
Nov
$48
Beef · Pork · Chicken
Add Sales Tax Below
Order Subtotal ……………………………………………………………………………………………………….
Total
$
8
Payment Option - A - 30% Deposit (remaining balance due June 1, 2018) 30% Deposit (order subtotal x .30) 1.75% Sales Tax (deposit x .0175) Total Payment Today (deposit + sales tax)
Payment Option - B - Full Payment 1.75% Sales Tax (order subtotal x .0175) Total Payment Today (order subtotal + sales tax)
$
Checks payable to Broad Branch Farm, Ltd., 15848 Twp Rd. 500 N, Wyoming, Illinois 61491 www.broadbranchfarm.com
Anita: 309-231-9290
Brian: 309-231-9280
[email protected]
By purchasing a CSA share, I understand Broad Branch Farm, Ltd. will do its best to provide an abundance and variety of local organic food. As a shareholder, I understand weather and other challenges may improve or limit the amount of food I receive. I am willing to eat seasonally and make the best use of the food I receive even if weather or other factors limit the variety or quantity of food produced. Sign:___________________________________________
Date:________________________
OR, Choose Custom Share
Full Share Price
Vegetable CSA FULL SHARE (Home delivery every other Thursday, 12 weeks, June – Nov.)
$360
Peoria Area – Start Date June 7th Naperville Area – Start Date June 14th
CUSTOM SHARE __________# of boxes x $30/box Include Custom Share Schedule Sheet
Add Sales Tax Below
Print Schedule Sheet:
FULL SHARE
$84
__________# of shares x $84.00/share (Home delivery every other Thursday, 12 weeks, June – Nov.) Peoria Area – Start Date June 7th
Total
OR, Choose Custom Share
Full Share Price
Egg CSA
Total
CUSTOM SHARE __________# of dozens x $7.00/doz Include Custom Share Schedule Sheet Print Schedule Sheet at: www.broadbranchfarm.com
Naperville Area – Start Date June 14th
Pastured and Grassfed Meat CSA Delivered Once Per Month
Full Share
OR, Choose Custom Share Month(s)
6 Total Deliveries June-November
Price Per Month
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef · Chicken
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef · Pork
$690
June
July
Aug
Sept
Oct
Nov
$115
Pork · Chicken
$690
June
July
Aug
Sept
Oct
Nov
$115
Beef Only
$690
June
July
Aug
Sept
Oct
Nov
$115
Pork Only
$495
June
July
Aug
Sept
Oct
Nov
$83
Chicken Only
$495
June
July
Aug
Sept
Oct
Nov
$83
Wild Alaskan Coho Salmon, 3 lbs. per delivery
$288
June
July
Aug
Sept
Oct
Nov
$48
Beef · Pork · Chicken
Add Sales Tax Below
Order Subtotal ……………………………………………………………………………………………………….
Total
$
8
Payment Option - A - 30% Deposit (remaining balance due June 1, 2018) 30% Deposit (order subtotal x .30) 1.75% Sales Tax (deposit x .0175) Total Payment Today (deposit + sales tax)
Payment Option - B - Full Payment 1.75% Sales Tax (order subtotal x .0175) Total Payment Today (order subtotal + sales tax)
$
Checks payable to Broad Branch Farm, Ltd., 15848 Twp Rd. 500 N, Wyoming, Illinois 61491 www.broadbranchfarm.com
Anita: 309-231-9290
Brian: 309-231-9280
[email protected]
By purchasing a CSA share, I understand Broad Branch Farm, Ltd. will do its best to provide an abundance and variety of local organic food. As a shareholder, I understand weather and other challenges may improve or limit the amount of food I receive. I am willing to eat seasonally and make the best use of the food I receive even if weather or other factors limit the variety or quantity of food produced. Sign:___________________________________________
Date:________________________
