Print this out. Fill in the information, and sign it. Return it with full payment of $240 in check or money order, to:
Lewis Creek Farm, PO Box 123, Starksboro VT 05487.

Name _________________________________

Address_______________________________

City State Zip_____________________________

Telephone No.__________________________

Email: ________________________________

Number of people in household:
Adults________ Children_______


Winter CSA Share Agreement
I understand that I am buying a share of the harvest at Lewis Creek Farm for the 2011-
2012 winter season, subject to availability, weather and storage conditions. I understand
that I am sharing the risks inherent to agriculture which in the summer include but are
not limited to drought, flooding, hail and frost, but in the winter can also include ice and
snow storms, loss of electrical power and any number of variables affecting storage. In a
normal year participants in the program will receive 7 monthly installments of vegetables.
The vegetables available will be chosen by Lewis Creek Farm and not all vegetables
listed or grown on the farm will necessarily be available through this program. I
understand that each month’s share is seasonal and perishable and that it has no value
that can be credited towards a future date should I miss a month for any reason.

______________________________________________________________
Signature of participant