ShadowBrook Farm CSA Registration

I would like to be a member of the 2017 ShadowBrook Full Season CSA.

First Name:
Last Name:
Address #1:
Address #2:
City:
State:
Zip:
Phone #1 (###-###-####):
Phone #2 (###-###-####):
Email:
My Investment:	$

I am sending a check for the full investment amount I have indicated (above).

I understand that my investment may be used to purchase ANY ShadowBrook produce, cheese, flowers, or any other product that ShadowBrook provides. I also understand that the credit must be spent during the 2017 season. No value will be carried to the next year.

Submitting this form acts as your digital signature.

Please mail your payment to:
ShadowBrook Farm
2201 West Denton Rd
Lincoln, NE 68523