Winter Share-Sign up Form

Please Print this form and Mail with your Payment to:

 

R Family Farm 6501 N Boone School Road  Poplar Grove, IL 61065

 

Your Name:

 

 

Address:

 

 

 

City:                                                State                 Zip Code

 

 

 

Email Address

 

 

 

Location: Circle one

 

POPLAR GROVE, IL                                 GENEVA, IL

 

Be sure to include you Extra Order Form!

 

We except cash or checks at this time.

 

Commitment and Cost:

 

Full Share:

3 months 2x per month($85/month)= $510 (SAVE $10)

6 month 2x per month (80/month) = $920 (Save $40)

12 month 2x per month (75/month) =$1800

Tax is included!

 

1/2 Share:

3 month   1x ($85/month) = $255

6 month   1x (80/month) = $480 (SAVE $30)

12 month 1x (75/month) = $900 (SAVE $120)

 

Add $10 each month for Delivery Charge (not applicable for on farm pick-up)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other "Add On" Items You Can Order

Item Price

Amount

wanted

 Total Price
Eggs dozen
 $4.00
Honey 12 oz $6.00
          16 oz $7.00
          48 oz $11.00
Ground Beef $5/lb

Sausage

No MSG

 $5/lb
Pork Neck Bones/Hocks $3/lb
Beef Liver

Goat #1lb Stew Meat
Goat Chops
Total Due