Share Price: $130
Standard Share Payment Plan:
$30 deposit before Sept 20, 2010 to "Save Your Share"
$100 balance payment by November 19, 2010
If you need a special payment plan, please let us know
Payment Options (check one):
___Check: Make checks payable to Brookfield Farm and send to address below.
___Online Payment: click on paypal link on the previous webpage - www.brookfieldfarm.org/WinterShare.html
___Food Stamps: Send back this form, include no money, and we'll contact you with details.
I want ___Winter Share(s): $____
Amount enclosed $____
Signature_______________________
Please fill out the information below to keep our records up to date:
Name(s) _____________________________________________________
Address(es)___________________________________________________
Phone______________________________
Email________________________________________________________
I have a regular share at Brookfield Farm___Next Barn Over____Other___(Circle One)
Make checks payable to Brookfield Farm and send to:
Brookfield Farm, P.O. Box 227, Amherst, MA 01004