2008 Farm to Folk Membership Form

To Join Farm to Folk please fill out this form and mail with your payment to:

Farm to Folk, 219 Crystal St. # 108, Ames, IA 50010

Item	Amount
Membership $15/year	$15
Small Potatoes Farm veggie share--$430
Small Potatoes Farm extended share--$120
Small Potatoes Farm greens share--$67.50
Iowa Fresh Produce veggie share--$225
Berry Patch Farm regular fruit share--$95
Berry Patch Farm super fruit share--$155
Picket Fence Creamery dairy share—please fill in chart below and enter total
A la carte account deposit (suggested minimum $50)
Contribution for low income families
total

Dairy Share – Dairy is available year round. 10 week sessions start 1/8/08 and 3/18/08. 20 week summer session starts 5/27/08.

Quan	Item	10wk	20wk	amt	Quan	Item	10 wk	20 wk	amt
	Half gal skim	$28	$55			12 oz cream	$22	$44
	Half gal 2%	$30	$60			Half pint ice cream	$20	$40
	Half gal whole	$33	$66			Pint ice cream	$33	$66
	Gallon skim	$39	$77			Quart ice cream	$50	$99
	Gallon 2%	$41	$82			Butter	$36	$72
	Gallon whole	$44	$88			Dairy total-enter above

I will pay for my shares as follows:

___one payment with this order

___$50 deposit now and one payment on first distribution

___$50 deposit and 3 payments due Jan 1, Feb 1, Mar 1, 2008

___other payment plan

___I am interested in financial assistance

Name	Share partner name
Address	Address
City and zip	City and zip
Phone	Phone
Email	Email

Member Agreement:  I would like to become a member of Farm to Folk Collaborative.  I understand that farming is not exact and that I will share in both the bounty and risks of the farmers.  I further understand that the growers for Farm to Folk agree to tend to the planting, cultivating, and harvesting of produce to the best of their ability, and cannot be held liable for adverse growing conditions.

Signature__________________________________________