Basket Sign Up Form CSA Please fill out this form to sign-up for fresh, delicious vegetables, delivered to a drop-off point near you from mid-June to the end of October. Name* First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Phone*Weekly or Bi-Weekly* Weekly (20 deliveries) for a total of $575 Bi-weekly (10 deliveries) for a total of $300 You can pay in two instalments: 1st check at the time of registration and 2nd check dated May 15th at the latest (Your payment at the beginning of the season helps us cover the numerous costs in the spring. Please label your cheques Au Petit Boisé and send to 986 Hudon, Dunham, QC, J0E 1M0.) Drop Off Point* At the farm, anytime In Dunham, at the bakery Laperle et son Boulanger, from 2pm to 5pm In Sutton, at 70 Principale North, from 4pm to 10pm In Bromont, at 1357 Shefford St, at the Mûre counter of Satya Yoga, Fridays from 12:30pm to 5:30pm At Champlain College on Thursdays AgreementIt is the member’s responsibility to pick up his or her basket. During your summer vacations, you can give your basket to a friend who will pick it up in your place, or we can keep it in the coldroom at the farm until you come back. As we are all subject to the whims of mother nature, members need to understand that disease, pests, and bad weather can affect one or more crops. Members share this risk with the farm. With that said, the farm commits to doing its best—following organic principles—to ensure the health of the crops. We use only natural fertilisers (compost, seaweed, manure) and protections against disease such as row covers, clay, and compost tea. Thank you for supporting local and sustainable agriculture. We look forward to seeing you in mid-June. * I agree Signed* Date* MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.