May 17, 2012

Join Brookfield Farm - Boston Area Distribution

(If you want an On-Farm Distribution Share click here.)

If you want more information about our CSA shares click here.)

To purchase a 2012 Regular Season Boston-Area Distribution CSA Share, choose one of the following:

Mail-In Form:
1. Print out the share purchase form.
2. Choose from the payment options on the form
3. Send form and payment to Brookfield Farm, PO Box 227, Amherst, MA 01004

On-line (secure) Share Purchase:
1. Fill out contact, share, and payment information below

Standard Share Payment Plan:
$60 deposit now
$240 payment by March 31, 2012
$240 payment by May 31, 2012

New Member - Boston-Area Distribution
First Name:
Last Name:
Street Address:
Street Line 2:
City:
State:
Zip:

Phone:
Email:

Share Type
Select Your Share:
Distribution Site
Select Your Distribution:
Number of Shares
How Many Shares?
Payment Amount
Payment Amount:	$ (Numbers ONLY, please - do not type the $)
Please note, if you are just paying a deposit at this time, the minimum deposit is $60 per share.
Payment Type
This Payment is for:
Your Credit Information
For your security, credit card information is not stored. (visa and master card only, sorry no amex)
Card Number:
Expiration:
CVV Code:	(Located on the back of your card)