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2017 Grown in Detroit CSA Enrollment Form
To join the 2017 Grown in Detroit CSA, complete this form. Payment is due at time of enrollment. Please make checks payable to "Keep Growing Detroit". You can also pay by credit card by following the link provided at the bottom of this form.

If you have questions about the Grown in Detroit CSA, please contact Imani at Keep Growing Detroit at 313-833-3872 or keepgrowingdetroit@gmail.com.

Primary Contact
Name
Your answer
Street Address
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City and Zip Code
Your answer
Phone Number
Your answer
Email Address
Your answer
Enrollment Period
Please select the month(s) that you'd like to enroll for:
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Secondary Contact
Please fill out if you are splitting your share with another person
City and Zip Code
Your answer
Street Address
Your answer
Phone Number
Your answer
Email Address
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I would like to receive Keep Growing Detroit's e-newsletter
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