Please note: Our 2010 CSA season is now full. You may add yourself to our mailing list for future CSA seasons and notifications of Beausol events by filling out the form below. Thank you. Required fields marked with an asterisk.*
First Name*
Last Name*
Email Address*
Mailing Address*
City*
State*
Zip Code*
Phone 1*	- -
Phone Type Listed Above*	Home Cell Work
Phone 2	- -
Phone Type Listed Above	Home Cell Work
Share Size (select one):*	Full Share ($600) Half Share ($300) Flowers ($175)
Additional Options:	Doorstep delivery (Add $50 for the season). We are not taking any more home delivery subscriptions this season. Thank you for your understanding. Please contact us to verify your address is within our delivery range.
Pickup Location (select one):*	At the Farm 5 Points/Whitaker Mill Road area of Raleigh Elliott St. Parking lot of Chapel Hill Meredith College (for Meredith staff and students) We do a limited number of home deliveries each year. Please check with us to verify we have delivery openings.
Number of people in your household:
Suggestions for crops of varieties to grow:
Food allergies we should know about (or vegetables you just refuse to eat!):
How did you find out about us?	LocalHarvest.org search RaleighCSA Yahoo group Other internet search Personal contact with Harry or Deb CFSA Farm Tour Referral by a friend   Other
Please make check payable and mail to: Harry LeBlanc, 139 Beausol Lane, Pittsboro, NC 27312-4135