Print this form out. 

Mail the completed form and your check by May 1, 2013 to:

            Becky Brown
            3213 36th Ave. S.
            Seattle, WA 98144 
	
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           MAKE YOUR CHECK PAYABLE TO: Lake Cavanaugh Farm 
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NAME_______________________________________________________ 

ADDRESS____________________________________________________ 

___________________________________________________________ 

HOME PHONE (___)___________________________________________

CELL PHONE (___)___________________________________________

e-mail address_____________________________________________



_____  Sign me up for a full share - 16 weekly bouquets. Enclosed
       is a check for $320.

_____  Sign me up for a half share - 8 bouquets every other week.
       Enclosed is a check for $160.


If you have questions, contact Becky Brown at bbrown@drizzle.com 
or 206-595-6302 or Martha Goodlett at 206-300-7768