Canticle Farm Shareholder Application for 2010

Name _______________________________________________________
Address _____________________________________________________
City, State, Zip _______________________________________________
Telephone ______________________ E-mail _______________________

I would like to purchase the following:                  No. Shares          Amount

Fall Share Options
Fall Small Share……………..……..……..($90) ____ ____________
Fall Large Share……………..…………..($175) ____ ____________

                                                               Grand Total: ____________
           Amount of deposit enclosed with application: ____________

Commitment:
I will share both the rewards and the risks of the growing season. I understand that weather and other natural events may affect the quantity and quality of some of the produce. It is my responsibility to pick up my share at my scheduled pick-up day and time. If my share is not picked up, I understand it will be donated.

Signed_________________________________ Date: _____________