Erehwon Farm’s
Farm Fresh Program 2012
Sign-up Form
Name:
Address:
Phone:
E-mail:
20 week subscription (please check those that apply):
PICK UP AT FARM (please check preferred day)
__Wednesday 4-6:30 pm __Friday 2-5 pm
___$600 due June 1 or (full price)
___$550.00 due December 31 ($50 discount) or
___$575.00 due March 15 ($25 discount) or
DELIVER TO LOCAL DROP POINT (Please check drop point preference)
___Wheaton ___Elgin ___Lombard ___Bartlett
___DeKalb ___Logan Square
deliveries on Tuesday afternoon—schedule to be determined
___$680 due June 1 or (full price)
___$630.00 due December 31 ($50 discount) or
___$655.00 due March 15 ($25 discount)
How did you hear about us? _________________________________________
Please make checks payable to Tim Fuller.
Mail to:
Tim Fuller
968 Pattee Av.
Elburn, IL 60119
630-485-9963
tim@erehwonfarm.com