Dicot Farm 2019 CSA Signup Form
For more information on our CSA, please go to https://dicotfarm.com/csa.

By submitting this form, you are agreeing to the terms outlined in the Dicot Farm CSA Member Agreement: https://dicotfarm.files.wordpress.com/2019/01/2019-dicot-farm-csa-member-agreement-1.pdf. Please read the agreement before signing up!

You will receive an invoice for payment from Dicot Farm on March 1, 2019. However, if we do not receive enough CSA signups by March 1st, we will notify you the CSA has been cancelled and you will not be charged.

Please contact us at dicotfarm@gmail.com with any questions. We look forward to being your Certified Organic farmers in 2019!

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Phone Number *
Your answer
How did you hear about our CSA?
Your answer
Pick one veggie share type: *
Special Optional Add-On: Would you like to add on a P.A. Bowen Farmstead raw cheese to your share for an additional $5.50 each week? (This is a ~15% savings on retail price and is a special 2019 offer only for Dicot Farm CSA members!) Your cheese share type must match your veggie share type. *
For 2019, we have one pick up location and day/time: *
Please let us know what veggies are your favorites and we'll do our best to include some of them in our crop plan this year.
Your answer
If you have any questions or notes for us - such as if you'd like to discuss a payment plan or SNAP payment or have questions about logistics - please include them here.
Your answer
A copy of your responses will be emailed to the address you provided.
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