LEAP Winter Farm Share Registration
Please complete the registration form in its entirety. The name and contact information is for the primary Farm Shareholder. If you are splitting a share with a friend or family member and want more than one person to receive the weekly email reminder, you are welcome to provide more than one email address.

If you have any questions, please email farmshare@leapforlocalfood.org.
First and Last Name *
Your answer
Zip Code *
Your answer
Farm Shareholder Phone (main) *
Your answer
List email address(es) to which you will receive confirmation and weekly newsletter (if multiple, separate with a comma) *
Your answer
Pick-up Site (All sites are TUESDAY pick ups!) *
Vacation day #1 (default will be last share on 12/18) *
MM
/
DD
/
YYYY
Farm Share Selection *
Required
Please make my Winter Share: *
Total Amount *
Your answer
Payment (must be paid in full by October 24th) *
Are you currently a Farm Share member?
If you are not a current Farm Share member, please list the member that referred you (if applicable).
Your answer
Submit
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