Name _____________________________________________   

Address ___________________________________________

City _____________________________ Postal code _____________

Phone __________________Email ____________________________

Half Share  $440  _______                      Full Share  $850   _______

Preferred pick up day –  Tuesday  _______

                                           Thursday  _______

                                           Friday __________         

Fruit add on $60 ________

Deposit of $150 to secure spot due at sign up

Full payment due April 1.

We accept payment by e transfer to thefarm@thiessenfarms.com

or cheques payable to Thiessen Farms. If paying by cheque please enclose both cheques.

Mail to – Thiessen Farms                                

               4132 15^th street

              Jordan Station, ON

              L0R 1S0

Questions? Contact us – 905-359-2672 (Amy) or 905-931-5215 (Ron)

                                         email – thefarm@thiessenfarms.com

I understand that farming depends on the weather, which is beyond the control of the farmer and can affect the quality & quantity of the produce. But I look forward to sharing the many benefits of locally grown fruit & vegetables.         

Signed _______________________________ Date__________________________