2010 Sauvie Island Organics
Community Farm Agreement

Member contact information

First name

Last name

Street address line 1

Street address line 2

City

State

Zip code

Telephone

Email

New member - please check this box if you are a new member

Cost of share

The cost for one share for the 30 week season is $875 -- (If your $100 deposit is received before January 1, 2010 you will receive a $15 discount and your share cost will be $875)
I am purchasing one share for the 2010 harvest season.

Special Options

Special options will be added to the cost of the share. Please note special items are available in limited qauntities. If you selected an item that is no longer available we will notify you and you will not be charged.

• Salad Mix - 30 weeks of salad greens @ $160

Bulk Pick-up Sites

• 3411 SE Ankeny (near 33rd and Burnside) Tuesdays, 5-7pm
• 2207 SE Elliot Ave (near 12th and Division) Wednesdays, 5:00-6:30pm
• NW 26th and Thurman (Friendly House Community Center) Thursdays, 4:30-6:30pm

Box Pick-up Sites

Please note that all box drop sites have a limited capacity. If you select a site that is already full, we will contact you to make an alternate choice for pick-up. *There is an additional service fee of $45 for box drop sites.

• St. Johns Monday PM
• Univeristy of Portland Monday PM
• NE 32nd & Shaver Monday PM
• 3202 SW Bertha Blvd Monday PM
• N Interstate & Webster Monday PM
• Richmond Neighborhood (SE Portland) Tuesday PM
• Ecotrust 721 NW 9th Wednesday PM
• Metro (NE Portland) Wednesday PM
• Oregon State Office Building Wednesday PM
• At the Farm (we do not charge the box drop fee for the farm pick up) Thursdays after 5pm

Method of payment

Select a payment option Send the remainder by April 1, 2010 Pay in two installments: April 1 & July 15, 2010 (+ $10 administrative fee) Make special payment arrangements subject to agreement.

Total cost

$.00
The total cost represents the cost of a share, plus any administrative costs and special options.

Dontate to the scholarship fund

Sauvie Island Organics is raising scholoarship money for the 2010 season to help folks who wouldn't otherwise be able to afford the CSA. We appreciate your support.
Your gift $ (amount in dollars)

Remaining balance

Mail either full or half payment to the address below.

Mailing address for payments

Sauvie Island Organics, LLC
20233 NW Sauvie Island Rd.
Portland OR 97231

For new members - how did you hear about us?
(Family or friend, web search, postcard, etc.)

If you are splitting the share please put the name(s) and contact information, (especially email addresses), of your share partner(s) in this box.

Anything else we should know or you wish to tell us?

We'd love to have you as an SIO member if we add a site that works for you. We are collecting information for new sites. We will hold on to your information and will contact you right away if we add a site that looks like it will work for you to become a member.