Name: _____________________________________________________________
Address: ____________________________________________________________
__________________________________________________________________
Email: _____________________________________________________________
Phone: _____________________________________________________________
Fruit N' Veggie Full Share ( ) $500
Fruit N; Veggie Half Share ( ) $300
Market Credit Share ( ) $200 ( ) Other*
*Minimum $200 purchase, more in increments of $100
Fruit N' Veggie Share add ons:
Egg Share ( ) $ 80
Poultry Full Share ( ) $260
Poultry Half Share ( ) $140
Flower Full Share ( ) $200
Flower Half Share ( ) $100
Desired pick up location
Lakes Area Farmers Market Wednesday Morning 7:30 - noon ( )
Lakes Area Farmers Market Saturday Morning 7:30 - noon ( )
Arnolds Park Farmers Market Thursday Evening 5:00 pm - 7:00 pm ( )
Spencer Riverfront Farmers Market Saturday Morning 8:00 - 11:00 ( )
Pick up from the farm ( )
Please list any produce you absolutely do not want included in your box.
Please make checks payable to Guritz Produce Farm and return to:
Guritz Produce Farm
2920 160th Street
Spirit Lake, IA 51360
