I have read the information on the Rolling Prairie web page and understand that I am responsible for picking up my bag each week. I understand the price of each weekly bag is $16 ($13 for the Lawrence Thursday economy bag), which includes sales tax, and that I will be billed monthly with payment due on the first pickup each month. I also understand that my membership is not activated until the site coordinator receives my deposit check ($80 for new members, $70 for returning members). I understand that the equivalent of three weeks' bags will be applied towards my last bill, with the remainder to cover a portion of the operating expenses of Rolling Prairie Farmers Alliance.
| Name | _______________________________ | Which pick up site and day would you like to use? (Click here for details on sites & times.) |
| Address | _______________________________ | __________________________________________ |
| City | _______________________________ | |
| Zip | ____________ | How did you hear about Rolling Prairie? |
| Email Address | _______________________________ | For Lawrence
Members- Would you like to participate in the Early Bag (April 21- 1st
Regular Bag)?______ Or the Late Bag ( last regular pickup- Nov 17)? ____ |
| Home Phone | _______________________________ | Comments or questions? |
| Work Phone | _______________________________ | |
| Lawrence Mondays (regular bag): | Paul Johnson, 3960 Ridge Dr., Perry KS 66073 |
| Lawrence Thursdays (economy bag): | Stu Shafer, 3213 Buck Creek Rd., Oskaloosa, KS 66066 |
| JCCC Wednesdays | Bob Lominska, 1954 Union Rd, Lawrence, KS 66044 |
| Franklin Center, Wednesdays |
Paul Conway, 25476 183rd St.,
Leavenworth, KS 66048 |
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