Print this form out. 

Mail the completed form and your check by March 15, 2010 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 (___)____________________________________________

e-mail address_____________________________________________


I will pick up my produce at:  

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

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


_____  Enclosed is a check of $550 for one share for 19 weeks

_____  Enclosed is a check for $275 as a deposit,
       with the remainder due May 1, 2010

If you have questions, call Becky Brown at 206-725-6345 or 
Martha Goodlett at 206-300-7768.