2019 Membership Form
Fill out this form to purchase farm shares and become members of the Southside CSA for Harvest 2019.
STEP 1 - Fill out form (Pick shares. Lots of info about shares & farmers on the webpage)
STEP 2 - Receive email receipt with membership agreement, purchase order, total balance due, deposit info, & payment plan
STEP 3 - PAY
Email address *
Returning or New Member? *
Emergency Contact Ph# *
Your answer
Share Name *
Your answer
SHARE PURCHASE
Below is the order area. Almost every question requires an answer. [FULL SHARE = Weekly pickups; Half H
MimoMex Vegetable Share (June - Nov) *
Greig Farm "Mostly Berry" Share (May - Oct) *
NY ORCHARD Share (July - Nov) *
Yellow Bell EGG Share (MAY - OCT) *
Northwind Farm Meat Share
MEAT SHARE TYPE
Pura Vida Fish Share (May-OCT) *
Yellow Bell Farm WHOLE CHICKEN Share (MAY-OCT) *
Yellow Bell Farm Chicken Bone Broth (MAY-OCT) *
Yellow Bell Farm Bourbon Chicken Liver Pate (MAY-OCT) *
Circle C Maple Farm [JUNE DELIVERY] *
Flavor of Maple
FARM TRIPS!
The "tickets" are to cover costs of car rentals & whatnot. Typically $20 per person covers cars, gas, and the picking of all that glorious fruit.
JUNE 8th - Strawberry Picking Farm Trip - $20 per person (kids free ) *
July 13 - Blueberry Picking Farm Trip - $20 per person (kids free) *
TBD Farm Trip to MimoMex Farm $20 per person (kids free) *
PAYMENT TYPE/ADMIN FEE
Administration costs covered by admin fee. Payments via Cash, Check, Venmo, Paypal, Zelle/Quikpay or Credit Card (+3%)
PAYMENT PLAN = Admin fee (Note $5 discount for payments in cash) *
Names & emails of Additional members
Your answer
Questions. Comments. Special Requests...
Your answer
A copy of your responses will be emailed to the address you provided.
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