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2013 Harvest Share Food Box Registration Form

 

First Name
Last Name
Email Address
Phone Number
Alt. Phone Number
Mailing Address
City
Province
Postal Code
Mailing Address same as Shipping Address Yes
No
Shipping Address (do not fill out if same as mailing address)
City
Province
Postal Code
Name of Authorized Third Party Pick-Up Person
Name of Person whom referred you to the program:
Please indicate your Harvest Share Food Box Size order below:
Personal Size Box
Family Size Box
Delivery/Pick-Up Options (Please indicate your choice)
Home Delivery, $7.00 weekly surcharge (includes HST) * as long as you live in a delivery zone
Aurora/Newmarket Depot, Free Service, Details TBA
Direct Farm Pick-Up at our location in the Holland Marsh, Free Service
Payment Information: Pay in Full or Two Instalments
Cash- Please make arrangements to come to office to pay for the program
Cheque - Please make payable to Carron Farms Limited and make appointment to drop off at the office or send via mail
Interac-E-Transfer - Please call or email office for code word.
Payment Breakdown: First Instalment Due Immediately

Personal Size Pick-Up $400.00:
$200 due Immediately, $200 due July 25th, 2013

Personal Size Home Delivery $540.00:
$270 due Immediately, $270 due July 25th, 2013

Family Size Pick-UP $560.00:
$280 due Immediately, $280 due July 25th, 2013

Family Size Home Delivery $700.00:
$350 due Immediately, $350 due July 25th, 2013
If you are mailing your payment please send to the following:

Attn: Harvest Share Food Box
Carron Farms Ltd.
819 Canal Road
Bradford, Ontario
L3Z 2A6

Please email harvestshare@carronfarms.ca or call the office at 905-775-2432 for the code word for the Interac-e-Transfer payment option.

If sending your registration form via email or fax, please send your payments via regular mail immediately. Payment is due when you register so please forward your payment immediately.

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