Please provide the information below and mail your check to

Barbara Putnam, 73 Clark Road, Litchfield, CT  06759

Please reserve my share of the harvest for the 2012 season:

Name_______________________________________

Address_____________________________________

____________________________________________

Town, State, Zip_________________________________________

Email:______________________________________

Phone:______________________________________

I enclose a 50% deposit for a

______________half share is $350, deposit is $175

______________whole share is $600, deposit is $300

I understand the other half will be due July 1, 2012

I understand that I pick up my vegetables on Fridays after noon.  If I can’t come by Saturday morning, I will contact you to let you know whether I want my vegetables saved for me