2017 Tree Juice Maple Syrup CSA Order Form

PLEASE NOTE: If paying by credit card, please use our online store.
If paying by cash or check, please use the form below.
SCROLL TO SEE FULL FORM!

First Name:

Last Name:

E-Mail:

2017 CSA:
(please include quantity of each)

Small Share (1/2 gallon for $30):

Large Share (1 gallon for $50):

Syrup Grade Preference:
(we can't guarantee your selection but will do our best)
GOLDEN, delicate taste (formerly light)
AMBER, rich taste (formerly medium)
DARK, robust taste (formerly dark)
VERY DARK, strong taste (formerly extra dark, grade B)

Shipping or Pick-Up?
I will pick-up my share (please select pick-up option below)
Please ship my share to me (please fill out shipping information below)

Pick-up Preference:
Sat. March 25, 10am-4pm
      Tree Juice Sugar Shack, 59 Rider Hollow Rd, Arkville, NY
Sun. March 26, 10am-4pm
      Collection Point, 924 Samsonville Rd, Kerhonkson, NY
Sat., April 8th, May 16th 10am-4pm
      Collection Point, 924 Samsonville Rd, Kerhonkson, NY
Sat., April 9th, 10am-4pm
      Tree Juice Sugar Shack, 59 Rider Hollow Rd, Arkville, NY
Sat., April 15th, Noon
      Sunflower Grocery store parking lot, Woodstock NY

Shipping Options:
For out of towners shipping is available at the following prices:
Small Share: $12.65 per item
Large Share: $17.90 per item
Address:
City: Zip:

Payment Type:
I will be paying by check.
Checks can be made payable to JOHN FAIRBAIRN and sent to:
Tree Juice Maple Syrup, c/o Ryan Annetts, 924 Samsonville Road, Kerhonkson, NY 12446.

I will be paying with cash.
If paying by cash we will contact you to arrange a drop-off.

Comments/Additional Requests: