Name _____________________________________________   

Address ___________________________________________

City _____________________________ Postal code _____________

Phone __________________Email ____________________________

Half Share  $450  _______                      Full Share  $860   _______

Preferred pick up day –  Tuesday  _______

                                           Thursday  _______

Fruit add on $75 ________

Full payment due with application.

We accept payment by e transfer to thefarm@thiessenfarms.com or by cheque payable to Thiessen Farms.

Mail to – Thiessen Farms                                

               4132 15^th street

              Jordan Station, ON

              L0R 1S0

Questions? Contact us – 905-359-2672 (Amy)

                            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__________________________