SPACE on Ryder Farm CSA Membership Registration Form
Registrations are accepted on a first come, first served basis, though a percentage of shares are reserved for those who qualify for EBT benefits. Once you complete the registration form, you will receive a confirmation email with invoice. CSA programs are extremely helpful to the financial operations of a farm, as they provide support early in the season when cash outlays for seeds, field supplies/preparation and repairs are highest. To that end, we hope as many members as possible will consider paying for their shares in full! Payment plans, however, are available upon request.
* Required
Email address
*
Your email
Full name
*
Your answer
Have you been a Ryder Farm CSA member in the past?
Yes
No, this is my first year
We take your privacy very seriously, if you prefer to give detailed contact information over the phone, please call us at 646-833-8159.
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
*
Your answer
Where would you like to pick your CSA up?
*
Ryder Farm on Wednesdays between 3pm-7pm
NYC on Saturdays, time and location TBD
Please select your CSA membership plan:
Please reference the below table for pricing options. If you qualify for EBT benefits, please email SPACE’s Director of Operations, Allyson Davis, at
allyson@spaceonryderfarm.org
to discuss additional opportunities available to you.
Full Share, Every Week
Half Share, Every Week
Full Share, Every Other Week
Friend of the Harvest Membership
High Income
Middle Income
Low Income
Full Share, Every Week
Half Share, Every Week
Full Share, Every Other Week
Friend of the Harvest Membership
High Income
Middle Income
Low Income
Add-on Fall Share: Extend your membership through mid-November! Add 6 more weeks to your membership for $185!
*
Yes, please!
No, thank you.
Would you like to make an additional donation to the Friend of the Harvest Fund?
Yes
No
If so, how much?
Your answer
Please confirm the payment schedule for your membership.
*
I will pay for my full share at this time.
I would like to speak with SPACE about a payment plan option.
How would you like to pay?
Check
Online Payment
Please sign the member commitment
As a member of the SPACE on Ryder Farm CSA, I understand that: (1) My farm share is available for pickup on the day I designated above. I take full responsibility for making sure my share is promptly picked up, and if I cannot retrieve it myself I will arrange for someone else to pick it up or notify SPACE (via email at
csa@spaceonryderfarm.org
) no later than 24 hours before my scheduled pickup. (2) If I have designated that I will pick up my share at Ryder Farm, I understand and agree that if my share is not picked up by Thursday at 5pm I will forfeit my bag and am voluntarily donating it to a local organization at SPACE’s discretion. (3) If I have designated that I will pick up my share in NYC, I understand and agree that if my share is not picked up in the allotted time frame I forfeit my bag and am voluntarily donating it to a local organization at SPACE’s discretion. (4) I will regularly receive a diversity of seasonal vegetables, and understand that special requests cannot be accommodated. (5) I will pay my balance due on time, and in full.
*
Yes, I agree!
Membership Survey
The following demographic information is optional but very helpful for our planning and future outreach efforts.
Would you like to be added to SPACE's mailing list?
Yes, please!
No, thank you.
How did you hear about SPACE on Ryder Farm?
SPACE Newsletter
Word of Mouth
SPACE resident alumni
Facebook
Instagram
Twitter
Non-SPACE Listserv
Other:
What race/ethnicities are present in your household?
Indigenous/Native/Original People (e.g. Wappinger, Lenape, Navajo Nation, Nez Perce Tribe, Mayan, Aztec, Nome Eskimo Community, etc.)
Asian (e.g. Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.)
Black, African American (e.g. African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc.)
Hispanic or Latinx (e.g. Mexican or Mexican-American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc.)
Middle Eastern or North African (e.g. Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc.)
White (e.g. German, Irish, English, Italian, Polish, French, etc.)
Multi-racial
Other:
What age are you?
18-24
25-32
33-39
40-49
50-59
60-69
70-85
85 or over
What gender do you identify as?
Female
Male
Non-binary/third gender
Other:
Do you have dependents that live with you?
Yes, children
Yes, other
No
Do you identify as disabled or non-disabled?
Disabled
Non-disabled
A copy of your responses will be emailed to the address you provided.
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