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Download the registration form as a PDF file.


Rising River Farm CSA Registration Form

Regular share (for 2-3 adults) =$400

Small share (for individuals) =$325

A $50 deposit is due with registration.


Name(s):_______________________________________________

Address:____________________________________ zip:________

Phone: hm ____________________ wk _________________

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

Pick-up Site:
East Olympia
_________

West Olympia_________

Tumwater___________

Centralia_________

Rochester (At the farm)_________

Share Size: Regular_________ Small ________

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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
$70 due April 1st
(or $55 for small share)
$70 due May 1st ($55)
$70 due June first ($55)
$70 due July 1st ($55)
$70 due August 1st ($55)

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

INSTRUCTIONS:

Download and print the PDF form, enclose a check and remit via standard mail.

 

 

 
Rising River Farm 13208 201st AVE SW Rochester, WA 98579 (360) 273-5368
contact@risingriverfarm.com