JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lewis Creek Farm Summer CSA 2025
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
Sign in to Google
to save your progress.
Learn more
* Indicates required question
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
*
Your answer
Zip Code
*
Your answer
Number of Adults
Your answer
Number of Children
Your answer
Share Size
*
Standard Share
Small Share
Pickup / Drop-off/ Home Delivery Option
*
Lewis Creek Farm, Wednesdays, 3 - 7pm
Burlington Farmers' Market, Saturdays 8:30am - 2:00pm
Home Delivery, Tuesdays or Wednesdays, 3-6pm
New Drop Site. Right now we don't have another Drop Site, but we could add one if you have a spot that could work. Show the details below:
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.
Your answer
How will you be paying?
*
Cash. You'll have to bring in person to the Lewis Creek Farm in Starksboro. DON'T FORGET YOUR CASH OR CHECK DISCOUNT.Put it in the cashbox at the farmstand.
CHECK: You can mail that in. DON'T FORGET YOUR CASH OR CHECK DISCOUNT. Make it payable to Lewis Creek Farm. Mail it to: Lewis Creek Farm, PO Box 123, Staksboro VT 05487
Pay by Credit Card Online. Follow this link:
https://lewiscreekfarm.square.site/s/order?location=11ea80a4743f4ab9b0d80cc47a2b63e4&item=240#12
How much is the fee you will be sending?
*
Your answer
Do you have other questions or comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms