SEND BY APRIL 10, 2010

NAME:

ADDRESS: CITY: STATE: ZIP:

PHONE: E-Mail:

Pick-up at Berry Creek Farm (check pick up day below:

_____ Monday _____ Thursday

Pick-up at Newport Natural Foods, Main Street, Newport, VT

(Add $40 delivery charge for the whole season)

Large Share $540 (3-4 people) from June through October

Small Share $290 (1-2 people) from June through October

Winter share - Are you interested? E-mail orders, purchased directly on a biweekly basis according to availability

Donation to Vermont Farm Share Program to help the food shelf, and senior meal site in our community join our farm. Every cent donated goes directly towards the cost of a share. For a charitable tax deduction make checks out to "NOFA-VT". Make sure you include "Berry Creek Farm" in the memo. Any contribution helps!!!

Gift share – please include the name, address and phone number of the recipient:

NAME:

ADDRESS: CITY: STATE: ZIP:

PHONE: E-Mail:

$ TOTAL, 50% of balance due by April 10, 2010. Remaining balance due upon first delivery in June. If you are interested in a more staggered payment plan, please let us know .

Make checks payable to Berry Creek Farm. Thank you!

$ Amount paid, Date , Check #:

I would like to Pick-My-Own Green Beans, included in share price, specify pounds

I would like to Pick-My-Own Yellow Wax Beans, included in share price, specify pounds

Certified Organic

Chicken (specify number of birds. They come bagged and ready for the freezer, $4.50/lb includes processing) _______

Pork (check one: ¼ ½ whole___ Mid November $4.00/lb does not include processing cost

Eggs (available on a first-come, first-serve basis at the farm stand

Raised on Certified Organic Grain

Beef (check one: ¼ ½ end September $2.50/lb does not include processing cost)