835 Dunbar Hill Road, Hamden, CT 06514 • (203) 288-0700

Sign Up for Hindinger Farms CSA

Yes, I am ready to sign up for the 2010 CSA. I understand the program costs $500, and will provide me with 25 weeks of seasonal, fresh picked farm produce. After completing this application, I will mail my payment of $250 immediately to the address shown below. I understand that the balance of payment is due before the first pickup in June 2010.
First Name*
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:
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Day Phone*:
Evening Phone:
Email*:
Select Pickup Day*:

p.m.
(Note: Saturday shareholders will have to pick up your first week's share on Wed, June 16. We will not have pickups on June 19 because of the Strawberry Festival that weekend.)
I agree to mail payment immediately. (You may pay the full amount of $500 now, or mail $250 now, with the balance due prior to the first pickup in June 2010.)*
*Required

Payment may be mailed by check, cash, or money order.

Please address checks to "Hindinger Farm" and send to:

Hindinger Farm
810 Dunbar Hill Road
Hamden, CT 06514
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