Elk Meadow Farm & Nursery 2012 Commitment Form
- Denice Moffat and Michael Robison
- 1069 Elk Meadow Lane Deary, ID 83823-9669
- (208) 669-0909 (Farm Cell Phone) or (208) 877-1222 (Home/Dr. Office)
- firstname.lastname@example.org or email@example.com
Full Names of All Adults in the Membership: _______________________________________
Names and ages of children: ___________________________________________________
Billing Address: __________________________________________________________
Residential/Street Address: ___________________________________________________
Telephone Numbers: __________________________ _____________________________
Email Addresses: ____________________________________________________________
___ I wish to receive the Elk Meadow Farm & Nursery weekly produce lists and info. via e-mail.
___ I prefer to get my information via Facebook.
Elk Meadow Farm & Nursery does not give out or sell your contact information.
Total payment of the annual farm membership plus the two initial punch cards is due and payable to reserve your membership. Additional cards may be purchased as needed. Thank you for supporting your community and feeding good foods to your family!
_______Annual Membership $25.00
_______2 Punch cards (required for initial membership) $200.00
_______Additional punch cards ($100 each) How many? Please circle: 1 2 3 4 5
_______Share the Produce (Suggested increments of $25 help us subsidize those in need.) _______Total owed.
_______Total Enclosed: Make checks payable to Elk Meadow Farm & Nursery LLC
What day do you expect would be better for you to come to the farm? Tuesday___ Friday____ Both days___ Unknown at this time ____How many days/month will we be seeing you? 1 2 3 4 5
Would you like us to start any plants for planting in your garden at home? If so, what plants (specific is best)? _____________________________________________________________________________________
Would you like us to grow any special crops for your canning needs? If so, what produce would you prefer? _____________________________________________________________________________________
Do you have friends or relatives who might be interested in a Farm Membership? We’d be happy to send them an invitation to visit the farm—or they can come with you during one of your visits.
Mailing Address: ___________________________________________________________
ELK MEADOW FARM & NURSERY 1069 Elk Meadow Lane Deary ID 83823 (208) 669-0908 Farm Cell Phone.