Lewis Creek Farm Summer CSA 2020
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 *
Last Name *
Name of any other adults who are sharing this CSA and might come to pick it up.
Telephone Number *
Is there a second telphone number you would like us to have?
Email *
Is there a second email address you would like to have receive CSA notifications?
Address *
For Home Delivery a good 911 address is needed.
Town *
State *
Zip Code *
Number of Adults
Number of Children
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.
Your Fee. What is the amount you will be sending? *
Do you have other questions or comments?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy