We are full for 2008. Check back earlier next year.

Maple Spring Gardens CSA Registration Form

(print out and mail)

NAME(S)  _____________________________________________________________________________________________

ADDRESS ________________________________________________________________________________

                  _______________________________________________________________________________

PHONE :   (HOME) ____________         (WORK) ___________         EMAIL ADDRESS _________________________________

I PREFER TO PICKUP MY SHARE IN:         ____ CHAPEL HILL/CARRBORO       ____ HILLSBOROUGH         ____ DURHAM

SHARE SIZE  :        ____ REGULAR  ($510)       ____ SMALLER ($350)         ____ FLOWER ($110)

DEPOSIT  ENCLOSED :         

   ___ $150 deposit (regular share)          ___ $100 deposit (small share)     ____ $30 flower deposit

   Early Bird (before January 1, 2008)       ___ $110 deposit (regular)          ____ $75 deposit (small)

Please mail check to Maple Spring Gardens, 9812 Allison Rd., Cedar Grove, NC 27231

Questions?  Call Ken or Libby at 336-562-5719 or email us at maple.spring.gardens@embarqmail.com