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YOURCSA.COM - Dinihanian's Farm Market

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Applications Must Be Filled Out On-Line Or At The Farm

(After submitting this form we would appreciate if you mail or deliver your check to Dinihanian's Farm Market)

CSA = Community Supported Agriculture

_{Dinihanian's Farm Market}

_{15005 NW Cornell Rd}

_{Beaverton, OR 97006}

Make Checks payable to Dinihanian's Farm Market

Feel Free to stop by our farm. We are open every day 10 a.m. to 6 p.m.

We except Cash, Check or Credit Card.

Application Form

Name:

* required

Phone:

* required

Email:

* required

Mailing address:

Select Size of Share:

Preferred Pick-Up Day:

(Monday Pickups are for Nike employees and contractors only)

Best Way To Contact You:

I understand that Dinihanian's Farm Market is a diversified farm. Along with being a CSA (Consumer Supported Agriculture), Dinihanian's Farm Market will continue to sell some farm products through other outlets. I agree that I will share in the bounty and assume the risk of the harvest with the farmer. I have read and understand the farm policies.

Signature:

* required

Date:
Full Share:
Half Share:
7 Weeks
1-Sep
$189.00
$126.00
6 Weeks
8-Sep
$162.00
$108.00
5 Weeks
15-Sep
$135.00
$90.00
4 Weeks
22-Sep
$108.00
$72.00
3 Weeks
29-Sep
$81.00
$54.00
2 Weeks
6-Oct
$54.00
$36.00
1 Weeks
13-Oct
$27.00
$18.00

Dinihanian’s Farm Market * 15005 NW Cornell Rd * Beaverton,Or 97006

Email: csainfo@yourcsa.com * Fax: (503)645-0635