Print this form out. 

Mail the completed form and your check by March 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_____________________________________________


I will pick up my produce at:  

_____  Wallingford site (4403 4th Avenue N.E.)

_____  Mount Baker site (3213 36th Avenue S.)

_____  Conibear Rowing Practice


_____  Enclosed is a check for $600 for one share for 20 weeks

_____  Enclosed is a check for $300 as a deposit,
       with the remainder due May 1, 2013

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