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Print form, fill
out,
Enclose
Payment, and return to:
Needle-Lane Farms, 6376 Tipton Hwy, Tipton, MI 49287
For information
:
e-mail: needlelane@tc3net.com
or phone: 517-263-5912
Name_____________________________________
Phone______________________________
Address_________________________________
Cell Phone
(Optional)___________________
City/Zip___________________________________
E-Mail______________________________
Share
Selection
_____
$660 Full Season Family Share
May-October (20 weeks)
_____
$380 Full Season Single Share May-October
(20 weeks)
_____
$454 Summer Season Family Share
July-September (12 weeks)
_____
$284
Summer Season Single Share July-September
(12 weeks)
_____
$200 Cut
Flower Share June-September
(16 weeks)
Pick-Up Options (Please
Check One)
____
Tuesday After
12 pm at Morgan & York
Big Ten Market (1928 Packard St. Ann
Arbor MI)
Payment
Selection (Please Check One)
_____
Single Payment
- Enclose
one check for the total amount. (This is best for us if you can
swing it.)
_____
2 Installments
- Enclose
two checks, one with today's date, one dated for deposit on June 1,
2010
(This saves us time and money.)
_____
Pre-Season Deposit
- Enclose a
$50 non-refundable deposit to hold your membership.
Send
the balance or half the balance by April 15. (Paid in full by June
1, 2010)
______
TOTAL DUE
_____
AMOUNT
ENCLOSED
Signature___________________________________
Written
receipt of your membership will be acknowledged by mail. This
agreement represents a season long contract.
Needle-Lane Farms will transfer your share to an
individual of your choice if you must terminate your membership
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