Rising River Farm CSA Registration Form

Regular share (for 2-3 adults) =$450

Small share (for individuals) =$375

A $50 deposit is due with registration.

Name(s):____________________________________________________________

Address:______________________________________________ zip:___________

Phone: hm ____________________ wk _______________ cell _________________

Email: (we will never share your info.): ______________________________________

Pick-up Site:

East Olympia _________

West Olympia_________

Tumwater___________

Rochester (at the farm)_________

Share Size: Regular_________ Small ________

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(Save this portion for your records)

Mail with payment to:
Rising River Farm
13208 201st AVE SW
Rochester, WA 98579

You can pay for your share in full or follow our suggested payment schedule. We can also create a different plan to fit your needs. Please call us. To keep costs down we do not send bills. Please keep this schedule as a reminder.

Payment schedule: (check off what you have paid for your records.)

______$50 due with registration
______$80 due April 1st (or $65 for small share)
______$80 due May 1st ($65)
______$80 due June first ($65)
______$80 due July 1st ($65)
______$80 due August 1st ($65)

Payment in full is due by August 1st unless another plan has been arranged