Herbal CSA member sign-up
Welcome!  Registration for the herbal CSA is on a rolling basis, and there are limited memberships. Please fill out the information below to sign up. You'll get an email from me with details about the program within a few days. See you soon!
Sign in to Google to save your progress. Learn more
Email *
Your name *
Phone number *
What is the best way to reach you? *
What do you hope to gain/learn from the herbal CSA?
 Do you have any specific interests you are hoping to explore (certain plants, health problems, etc)?
Are you allergic to any plants?  (including foods) *
Amount you will pay *
Sliding scale information can be found at www.littleredbirdbotanicals.com/CSA-sliding-scale. Please send a check made out to Holly Poole-Kavana to 2437 15th St NW, Washington DC 20009, or let me know if you want to pay in a different way. Contact me at littleredbirdbotanicals@gmail.com if you need to set up a payment plan.
How did you hear about the herbal CSA?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy