CSA Member Agreement 2021

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Member Name

Member Email (for weekly Newsletter, and communication)

Would you like to receive a produce available to purchase email in addition to the weekly CSA newsletter?

Yes

Clear selection

Phone Number

What type of CSA share would you like to invest in?

Weekly Share (20 weeks beginning June 2, ending October 13)

Bi-Weekly Share (10 weeks beginning June 2, ending October 6)

Clear selection

Would you like to pick up on farm, request home delivery ($2 delivery charge each week), or schedule pick-up at a drop location in Honesdale

Drop off location (if different than above)

Physical Address (if home delivery requested)

I understand that payment in full is due by April 1st, $540 for a weekly share, and $270 for bi-weekly.

Yes, I agree

Clear selection

I agree that a share entitles me to the bounty of the harvest, which also means a share of the risk, as on occasion a crop may fail due to conditions that are beyond the control of the grower

Yes, I agree

Clear selection

I understand if I cannot make my CSA pick-up, I can request a pick up day change as long as I have made the request 24hrs in advance of the scheduled pick up day. If i do not make the request with 24hrs advance notice, the grower will be unable to accommodate a CSA pick up day change.

Yes, I understand

Clear selection

Are you a returning member or a new member

New Member

Returning Member

Clear selection

Submit

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