Community Supported Agriculture

EXISTING MEMBER PAYMENT FORM

Thank you for being a part of Fernbrook Farms CSA! We are excited to be growing food for you and your family. CSA members can use this form to make payments for their CSA Share.

A reminder that you can pick-up your share on:

Saturdays, 8 am - 1:30 pm

Tuesdays, 10 am - 7 pm

Thursdays, 2 pm - 7 pm

Questions? Give us a call (609-298-0029) or send us an email (info@fernbrookfarmcsa.com).

Thank you!

Member Information

First Name *

Last Name *

Phone Number *

Email Address *

Do you have a Full Share, a Ten Week Share or a Toms River Share? *

Payment Information

How would you like to pay? *

Pay By Check

Pay By Credit Card

Please make checks payable to "Fernbrook Farms CSA" and mail to:

Fernbrook Farms CSA

PO Box 228

Bordentown, NJ 08505

A Full Share costs $660. A $100 deposit was due with your registration.

The first installment of $280 is due by February 15th and the second installment of $280 is due by May 1st.

You may also pay the total remainder of $560.

If you need a payment plan please contact us at info@fernbrookfarmcsa.com or call us at (609)-298-0029.

Please make checks payable to "Fernbrook Farms CSA" and mail to:

Fernbrook Farms CSA

PO Box 228

Bordentown, NJ 08505

A Ten Week Share is $350 for the season. A $100 deposit was due with your registration.

The remaining $250 is due by February 15th.

If you need a payment plan please contact us at info@fernbrookfarmcsa.com or call us at (609)-298-0029.

Please make checks payable to "Fernbrook Farms CSA" and mail to:

Fernbrook Farms CSA

PO Box 228

Bordentown, NJ 08505

A Toms River Share is $670. A $100 deposit was due with your registration.

$285 is due by February 15th and the final $285 is due by May 1st.

Of course, you may also pay the total remainder of $570.

If you need a payment plan please contact us at info@fernbrookfarmcsa.com or call us at (609)-298-0029.

** We can not accept American Express cards OR debit cards. Please use a VISA, Mastercard, or Discover credit card. Thank you **

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Zip Code on Card (if different from above)

Payment Options *

Pay first installment of $275 (due by February 15th).

Pay second installment of $275(due by May 1st).

Pay both installments, $550.

Other (please type in your payment amount) Other (please type in your payment amount)

Payment Options *

Pay second installment of $235 (due by by February 15th).

Other (please type in your payment amount) Other (please type in your payment amount)

Payment Options *

Pay first installment of $285 (due by February 15th).

Pay second installment $285 (due by May 1st).

Pay both installments, $570.

Other (please type in your payment amount) Other (please type in your payment amount)