Common Contracts

BETWEEN FARMER (TO SUPPLY) AND SENIOR (TO RECEIVE) A VARIETY OF APPROVED VEGETABLES, FRUITS, FRESH CUT HERBS AND HONEY VALUED AT $50 (FAIR MARKET VALUE) ACCORDING TO THE TERMS OF THIS AGREEMENT

January 13th, 2021

• Filed
  January 13th, 2021

0BFARM NAME: 1BPHONE: FARM ID NUMBER: 2BMAILING ADDRESS: CITY/STATE/ZIP FARM OWNER:  SENIOR SELECTS: Senior (Shareholder) will “shop” and charge against their $50 FarmShare credit during the season at designated site. FARMER SELECTS: Farmer provides senior a bag/box of assorted produce at least 4 times over a minimum period of 8 weeks.  BOTH SELECT Days (i.e. Wed) Times (i.e. 4pm) Name of housing (or other) site: Days (i.e. W) Times (i.e. 4pm)HomeOTHER ARRANGEMENTS (please describe): PLEASE SELECT ONE:  Hispanic or Latino  Non-Hispanic or Latino PLEASE ENTER: All racial code numbers that apply to you using the codes listed on the bottom MAINE SENIOR FARMSHARE ELIGIBILITY GUIDELINES (Must be able to check all three boxes):The outlined numbers refer to the household size (# of people residing in household). The household gross annual income must be below the dollar amount after each outlined number to be income eligible. 7/1/2020 - 6/30/20211- $23,606 2- $31,894 3-