2015 Flower CSA Form
2015 Flower CSA Form
2015 Flower CSA Form
MEMBER INFORMATION
o School Staff
o Family of Student
o Community Member
Name/s:
Please include names of all people sharing membership
Address:
Phone:
Email:
CSA membership fees are NOT tax-deductible.
MEMBERSHIP COST:
o $215, full share
PAYMENT:
o Full Payment: Include a check for the total share cost
(DUE JUNE 1)
PICKUP LOCATION:
o WEDNESDAY 2:30 pm - 6:30 pm at the Youth Farm (600 Kingston Avenue)
o MONDAY 5 pm - 8 pm at Shambhala Yoga and Dance Studio (367 St. Marks Avenue)
Signature
Date