www.stoeckerfarms.com
Register For The CSA Program
Stoecker Farms CSA Membership Form
Name: __________________________________________________Address:_________________________________________________
__________________________________________________
Phone:___________________________________________________
E-Mail:___________________________________________________
Please print clearly
______Enclosed is the full amount of $450 ($400 if paid before February 15)
for one membership share in Stoecker Farms CSA.
______I would like to participate in a payment plan.
$100 by Feb 15 to reserve my share
$100 by March 15 installment #2
$100 by April 15 installment #3
$150 by May 15 installment #4
I understand all financial obligations must be completed prior to receiving my first share.
Please sent this form and check(s) made payable to: Stoecker Farms
2501 Gibson Road
White Hall, Md 21161
410 329 2140
410 340 2372 (cell)
stoecker.farms@gmail.com
