Canticle Farm Shareholder Application for 2009

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

I would like to purchase the following:                  No. Shares          Amount
Spring Share Options
Spring Small Share………………………… ($60) ___ __SOLD OUT__
Spring Large Share..……..…….………….($110) ___ __SOLD OUT__
Summer Share Options
Summer Participating Small Share …………($295) ___ ____________
Summer Participating Large Share ….…..…($560) ___ ___________
Summer Non-participating Small Share ……($325) ___ ____________
Summer Non-participating Large Share.......($620) ___ ____________
Summer Partnership Small Share…(Contact office) ___ ____________
Summer Partnership Large Share…(Contact office) ___ ____________
Fall Share Options
Fall Small Share……………..……..……..($90) ____ ____________
Fall Large Share……………..…………..($175) ____ ____________
Donations
I would like to donate a Summer Small Share.($325) ____ _________
I would like to donate a Summer Large Share.($620) ____ _________
I would like to donate money towards a share for the needy _________
                                                               Grand Total: ____________
           Amount of deposit enclosed with application: ____________

Please indicate first choice for the summer share program pick-up day:
______Tuesday _____Friday (All attempts are made to accommodate your preferred pick-up day. However, sign-up is first come, first served and no guarantee is given.)

Are you a new shareholder? ____ If yes, how did you hear about Canticle Farm? ___ newspaper ___ brochure  ___ friend  ___ other  ____________

If you are a Non-participating Shareholder, please sign below. If you are a Participating Shareholder, please complete the 2009 Participating Share Agreement form found on the website to check the type of tasks to which you are making a commitment, and then sign below.

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: _____________