Lewis Creek Farm Summer CSA 2019
You can sign up here. You will still need to send your CSA Payment by mail.
See the bottom of this form for the Fee Schedule.
For full CSA information, see our website at LewisCreekFarm.com
First Name *
Your answer
Last Name *
Your answer
Name of any other adults who are sharing this CSA and might come to pick it up.
Your answer
Telephone Number *
Your answer
Is there a second telphone number you would like us to have?
Your answer
Email *
Your answer
Is there a second email address you would like to have receive CSA notifications?
Your answer
Address *
For Home Delivery a good 911 address is needed.
Your answer
Town *
Your answer
State *
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Zip Code *
Your answer
Number of Adults
Your answer
Number of Children
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Share Size *
Pickup / Drop-off/ Home Delivery Option *
If you have a new location for a Drop Site, please describe it here and we'll get back to you to figure out details.
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Your Fee. What is the amount you will be sending? *
Your answer
Do you have other questions or comments?
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