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Jasmine Farm LLC
Membership Form













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JASMINE FARM CCSA

MEMBERSHIP FORM

2009

NAME        _______________________

ADDRESS: _______________________

                    _______________________

PHONE:     _______________________

E-MAIL: _______________________

Please choose a share option

Roman,Times,serif">____Big Share for 2009 season * -$695.00 paid in full or
$200 deposit + four $130. monthly payments.

___Standard Share for 2009 season *$495.00 paid in full or call about payment plan .

**please indicate your pickup location ___________________

____ ** - .

Please send this form and a check made payable to:

Jasmine Farm LLC.

14445 Burntwoods Road

Glenwood, Maryland 21738

* Big Share size - a Bid share size is one box weekly for a family of 4. Available for one growing season, after membership is fully paid.

*Standard Share size - is for two people available for one growing season after membership is fully paid.

** .

Monthly payment plan: Members who cannot pay the share price up front are welcome to pay in installments. A $25 paper work fee will be assessed.

COOPERATIVE COMMUNITY SUPPORTED AGRICULTURE at JASMINE FARM provides fresh fruits, herbs, vegetables and pumpkins harvested during the growing season weekly. Become a supporting member of JASMINE FARM LLC.

Pickup locations Please Circle your choice Bethesda Tuesday's Gaithersburg Saturday's Mt. Airy Wednesday's Your can only choose one pickup location.

Gus & Tag Neshawat

410-489-2522

410-300-9430 cell

jasminefarm@netscape.net