Great Country Farms

Great Country Farms Community Supported Agriculture Program Application

Hello!

Join our Community Supported Agriculture Produce Program at Great Country Farms by filling out our online application, emailing gcfcsa@gmail.com or calling the farmers at 540.554.2073.



To choose to pick up at one of our drop locations please note one of the following locations
in the delivery address line of your application:
2600 Crystal Drive in Crystal City
2011 Crystal Drive in Crystal City
Cox Farm Centreville

To apply for a FAN of The FARM Season Pass
--Just fill in your name and address and
write "FAN" in the Delivery Address. If your application is a Gift please note GIFT & the receipient's information
in the Delivery Share Partner Fields (after you enter your information)
or just email us at gcfcsa@gmail.com.

Great Country Farms
Community Supported Agriculture Program
FAN of the Farm Season Pass for 2010 or
2010 CSA Produce Application Information

Name:
 
Mailing Address Information
Address:
City:
State:
Zip Code:
Email:
Would you like to be notified
about special events via e-mail?		 Yes No
Home Area Code & Phone:
Daytime Area Code & Phone:
 Delivery Share Information (only for Delivered Full Shares)
Delivery Share Partner Name:
Delivery Share Partner Address:
Delivery Share Partner City:
Delivery Share Partner State:
Delivery Share Partner Zip Code:
Delivery Share Partner Home Area Code & Phone:
Delivery Share Partner Email:
 
Delivery Address Information
(If different than mailing address. For Pick-up shares please
note "Pick-Up" + the day of the week (Tues.-Sat.) + pre-packed or self pack for the delivery address line
City: Bluemont
State: VA
Zip: 20135
Address:
City:
State:
Zip Code:
Payment Options:

You will receive an email confirmation when your application has been accepted with payment information. We accept VISA & MasterCard but not over the web yet. To make payment via Mastercard or VISA please call the farm at 540-554-2073.
We do offer a 5% discount for CSA Produce Memberships paid in full via check or cash.
Payment Plans include 5% sales tax and a $25 fee for processing 6 payments.

Delivered Full Share$949.00+ $30 box fee+ 5% tax = $1,027.95 or 6 payments of $175.49; 5% cash/ck in full discount amount: $976.55;
Pick-Up Full Share$799.00+ $30 box fee+ 5% sales tax = $870.45 or 6 payments of $149.24; 5% cash/ck in full discount amount is $826.92
Delivered Half Share$575.00 + $15 box fee + 5% sales tax = $619.50 or 6 payments of $107.42; 5% cash/ck in full discount amount is $588.53
Bulk Half shares delivered to the Crystal City Pick up sites are $474.50+ $15 box fee+ 5% sales tax = $513.98 or 6 payments of $89.83; 5% cash/ck discount amount is $488.28
Pick-Up Half Share$425.00 + $15 box fee + 5% sales tax = $462.00 or 6 payments of $81.17; 5% cash/ck discount amount is $438.90
You will receive email confirmation that your application has been accepted with in 72 hours and will receive further information about payment arrangements. Thank you for your interest in Membership at Great Country!!

We can only accept a limited number of applications for the 2010 season and usually fill up by early April. Payments are used in the operations of Great Country Farms and the production of fruits and vegetables. Payments are non-refundable unless your membership is sold to another party.

We will confirm acceptance of your application via email within 72 hours.