www.stoeckerfarms.com

Register For The CSA Program

Stoecker Farms CSA Membership Form

Name: __________________________________________________

Address:_________________________________________________

               __________________________________________________

Phone:___________________________________________________

E-Mail:___________________________________________________
             
Referred by:________________________________________________
Please print clearly
______Enclosed is the full amount of $200($175 if paid before March 1)
for one quarter membership share in Stoecker Farms CSA

______Enclosed is the full amount of $300 ($250 if paid before March 1)
for one half membership share in Stoecker Farms CSA

______Enclosed is the full amount of $500 ($450 if paid before March 1)
               for one regular membership share in Stoecker Farms CSA.

______Enclosed is the full amount of $750 ($700 if paid before March 1) 
for one large membership share in Stoecker Farms CSA

______Enclosed is $250 for the additional Fruit option
*Payment plans are offered for all shares, please contact us for more information
*** We also accept credit card payments through a secure link (please email us if you would like to pay by card). 
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
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