Order Form

Please print and mail this form to ATTN: RTP Farmfresh, 2422 Belair Forest, Wilson, NC 27893.

Name: ____________________________ Date: ___________

Address: ____________________________ City/State ____________________________

Zip ____________________________Phone ____________________________

Cell Phone ____________________________Email Address___________________________

Delivery CSA Location Desired_________________

2011 Spring CSA Beginning Apr 19, 2011

I would like to pre-purchase the following CSA Packages (check all that apply):

Apr 19 - Jul 26, 2011 (15 weeks)

ð 1/2 Share ( Typically serves 1-2 individuals ): $ 225.00 (15 weeks, $ 15.00 per week)

ð Full Share: ( Typically serves 3-4 individuals) $ 375.00 (15 weeks, $25.00 per week).

High quality food grown the old fashion way.