YES! I'd like to purchase a share of the 2005 Harvest at Rivendell Ranch Organic Farm.
By completing this form and returning it with my payment, I agree that share selection and quantity will be determined by the actual weekly harvest, and I will be responsible for picking up my weekly share.
Name: ______________________________________________
Address: ___________________________________________
City, Zip: _________________________________________
Phone: _____________________________________________
email: _____________________________________________
I will pick up my share:
[ ] On Farm
[ ] Montesano Drop-off
[ ] Hoquiam Drop-off
[ ] Ocean Shores Drop-off
Payment: Please make your check payable to Rivendell Ranch. A limited number of shares are available. Your share is reserved when we receive your signed application and check.
Signature: __________________________________________
Please mail this form with your check to: