La Terra Vita CSA Reservation Form 2024

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Email *

First name *

Last name *

Phone number(s) *

Mailing address *

Vegetable Share options *

Full Share (2 adults) $625 (+$13 if paying by Venmo)

Individual Share (1 adult) $510 (+$10 if paying by Venmo)

Required

Angus Share (optional)

Angus Share $255 (+$5 if paying by Venmo)

Pick-up options *

First share 6/1 (Sat.) or 6/4 (Tue.), then weekly for 15 weeks

PDX: Saturdays 8:30am-2pm, PSU market

SALEM: Tuesdays 4-6pm, central location

WEST SALEM: Tuesdays 5:30-7pm , The West Box

STAYTON: Tuesdays 3:15-6pm, central location

FARM: Tuesdays 3-6pm

SNAP option

If you wish to put SNAP benefits toward payment with matching DUFB funds, please check the box so we can send you the form.

SNAP/DUFB benefits

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