Stone House Herb Company CSA Member Form




Member Name ______________________________________________________________

  Email Address ______________________________________________________________  (E-mail is our primary form of communication with our members. We will not share your information- ever)

  Contact Phone Number _______________________________________________________ 

Mailing Address _____________________________________________________________ 

City, _________________________

State __________ Zip____________ 


Please indicate your selection;



        Full Share-pick up                                        Half Share-Summer/Fall-pick up                                Half Share-Winter/Spring-pick up


         Full Share-shipping                                     Half Share-Summer/Fall-shipping                               Half Share-Winter/Spring-shipping






By signing this contract you attest that you have read and except the CSA agreement and are agreeing to participate in Stone House Herb Company's CSA. You  understand the guidelines explained and are willing to accept the risks. You will pick up or arrange for pick up of your share each month, unless the shipping option has been chosen. You understand there are no refunds after the CSA has started. You appreciate locally grown,organic, synthetic pesticide-free herbals and want to ensure that it remains available in your area by becoming a shareholder in Stone House Herb Company LLC Farm Apothecary CSA. I understand that Stone House Herb Company LLC will do their best to provide the organically produced herbal products, they propose at the times they estimate. However, as a shareholder in both the bounty and the risk, I understand that nature ultimately decides what I will receive and when I will receive it.  ** Information on the traditional uses and properties of herbs and herbal products are provided for educational use only, and are not intended as medical advice, to diagnose or treat illness. Every attempt has been made for accuracy, but none is guaranteed. Many traditional uses and properties of herbs have not been validated by the FDA. If you have any serious health concerns, you should always check with your health care practitioner before self-administering herbs OR HERBAL PRODUCTS.  **


Signed ________________________________________________ Date ________________ 


We accept PayPal, Square or check payable to Stone House Herb Co. LLC

   Simply email or mail us your filled in Membership form, plus payment to -    Stone House Herb Company LLC CSA, 4865 S. Bolton Rd, Shannon IL, 61078.  After we receive your application we will process it then send you an email to verify our receipt of your signed contract and agreement.  You will receive our newsletter monthly. Once we are ready for harvest we will email you or call to remind you.

















                                                                                                                            the power of one small farm TM 

We must have this signed form to process your order