Wild Carrot Farm 2019 Extended CSA Sign Up Form
Yes! I'd like to sign up for the 2019 Extended CSA season. The season will run 8 weeks, from November 5th through December 20th. Please note that we only offer one pickup time per week, on Tuesdays from 1 to 6pm, except for the last pickup which will be Friday December 20th from 1 to 6pm.
Email address *
Last Name *
Your answer
First Name *
Your answer
Address
Your answer
Phone Number
Your answer
Extended Veggie Share: (please note that prices have increased this season to reflect our commitment to paying our crew a living wage) *
Scholarship Request
Scholarship Donation - I'd like to make a donation to the Wild Carrot Farm Scholarship Fund and help make scholarships available to my neighbors! (You can also make a tax-deductible donation through NOFA-VT Farm Share program, make sure to mention Wild Carrot Farm as the recipient). I would like to donate this amount directly to the farm:
Your answer
Total Price: *
Your answer
Have you been a member of Wild Carrot Farm CSA in the past?
Thank You!
We look forward to sharing our harvest with you this year and will be in touch soon!
Please mail or drop off your $50 non-refundable deposit (or full payment) to the farm at

511 Upper Dummerson Rd, Brattleboro, VT 05301.

The remaining balance will be due at the first pickup unless you make arrangements for a payment plan or want to pay with EBT.

A copy of your responses will be emailed to the address you provided.
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