Barrett Hill Farm CSA Online Application

Please fill in the following Personal Information:

CSA Option Name $300 Share Cost # of Shares CSA Option Total
A Surprise Package $250 $0.00
B Shop when you want $250 $0.00
C Canning, Freezing & Storage $250 $0.00
D Cooks package $375.00 cost with a $450.00 value. $0.00
Total # of CSA Shares:
Total # of CSA Shares: $0.00

Please answer the following questions:

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

For payment please call us at (603) 878-4022 or mail a check to:

Barrett Hill Farm, L.L.C.
103 Barrett Hill Road, Mason, NH 03048