Regenerative Roots CSA Membership Application

Thank you for your interest in becoming members of our farm for the 2017 season! We welcome you as a friend of sustainable farming and delicious food. CSA is all about community - it's a model where customers choose to support a specific farm for a full growing season in exchange for a weekly box of produce (~a grocery bag worth; enough for 2-4 people). Members enjoy extremely fresh produce, eating healthy, and receive newsletters with farm news, recipes, and invitations to events on the farm throughout the season. We offer two different size shares (Family & Personal).

Please take a moment to answer the following questions about yourself and state your preferences for your membership size and pick-up location. We do not collect payment(s) online, so please send checks ASAP to secure your membership, as we have limited spots available and sell out every year!

Some members may choose to share their membership with another individual or family. If this is the case, please make sure to include all their information at the bottom of this form!! Also at the bottom of the form is a 'Submit button' - make sure to click it when you're finished.

Discounted CSA shares are available to low-income families through the partner shares program. Also, several local HMO providers offer rebates for CSA shares up to $200. See the Partner Shares Program and Health Insurance Rebates pages on our website for more details (under "CSA Membership").

Make sure you read the Member Handbook as well:
http://regenerativeroots.com/wp-content/uploads/2011/12/Regenerative-Roots-Member-Handbook.pdf

To Your Health! ---Anne and Dennis, Regenerative Roots, LLC

    General Information

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    Membership Preferences

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    Pick-Up Site Preference

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    Payment Preference

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    Member Agreements

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    Donate to FairShare and Support Fresh Food for All!

    For over 20 years, FairShare CSA Coalition has been a nationally recognized leader and innovator in the local food movement. From coordinating the 1st Annual CSA Open House in 1993, developing the Health Insurance Rebate Program in 2006, to becoming authorized to accept SNAP benefits (food stamps) for CSA purchases in 2010, they have worked tirelessly to build a healthy, accessible good food community. Your donations help FairShare provide support to CSA farmers, educate thousands of consumers about the benefits of fresh local foods, and operate the Partner Shares Program to make CSA affordable for hundreds of low-income households. Please visit http://www.csacoalition.org/get-involved/donate/ to show your appreciation.

    Second Household

    Are you sharing your CSA with another individual or family? If so, please complete the following four questions for the Second Household. [Please be aware that members who are splitting a share are responsible for coordinating this on their own and picking up an entire share. Regenerative Roots will not allow partial shares to sit at the pick-up site, as it inconveniences other members. Thanks!]
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