CSA Subscription Order Form


Thank you for joining our Dog Mountain Farm CSA Program!

CSA Terms of Agreement
I appreciate locally grown produce and want to ensure that it remains available in the Puget Sound area by becoming a shareholder in Dog Mountain Farm Community Supported Agriculture (CSA). I understand that I am not entitled to substitutions or special requests in my weekly delivery and that the farmers, David and Cindy Krepky, will do their best to provide the produce they propose at the times they estimate. However, as a shareholder in both the bounty and the risk, I understand that nature ultimately decides what I will receive and when I will receive it. I understand there are no refunds, although if I can find a replacement I may transfer my share to another party.

Contact Information

            Name 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
      Work or Mobile Phone 
      Home Phone 
          E-mail 
CSA Share Selection
Spring Share 10 weeks (March 2-May 4) $150.00
Farm pickup
Microsoft Redmond Campus Building 110
Summer Share 20 weeks (May 11-September 21) $675.00
Farm pickup
Microsoft Redmond Campus Building 110
Carnation Farmers Market, Tuesday 3-7 PM
Broadway (Seattle) Farmers Market, Sunday 11 AM-3 PM
Fall Share 10 weeks (September 28-November 30) $350.00
Farm pickup
Microsoft Redmond Campus Building 110
Broadway (Seattle) Farmers Market, Sunday 11 AM-3 PM
Payment Preference
Check (Payable to Dog Mountain Farm LLC, PO Box 17, Carnation, WA 98014)
Credit Card (Please call 425.333.0833 or for secure payment go to Localharvest.org)


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Copyright © 2003 Dog Mountain Farm LLC. All rights reserved.
Revised: 05/09/08