Weekly Meat CSA Sign Up Form

Thanks for your interest in our weekly organic-grassed CSA (Community Supported Agriculture) program!

Take a look through the below CSA share options to get a sense of what we offer and let us know if you have any questions.

Once you're ready to sign up, please fill out this form as completely as possible to get your CSA started. Once this form is submitted, we will contact you (usually within 2-5 days) to confirm and send an invoice based on your selected duration, pickup location or delivery address, & desired amounts of meat and eggs. At this point we will also confirm the soonest possible start date, which is usually within 1-2 weeks or less of signing up.

Thanks again,

Mint Creek Farm
(815) 953-5682
Amount of weekly meat *
Amount of weekly eggs *
Custom preferences--additional charge possible (example: "no goat in CSA please")
Your answer
How many weeks would you like to sign-up/prepay for at once? *
Farmers' Market CSA Pickup (if opting for pickup rather than home delivery)
Delivery day of the week (if opting for home delivery)
Desired start date *
Is this a gift? *
If yes please provide your name and email here and enter the CSA Share recipient's information in the fields below.
Your answer
Name *
Your answer
Sign-up/renewal contact phone number *
Your answer
Email Address *
Your answer
Address *
Your answer
Unit or Apartment #
Your answer
If no answer at door, should we call or text your contact phone number?
If no answer at door/via phone, where can we leave CSA? (stoop, porch, with doorman, etc.) *
Your answer
Delivery contact phone number
Your answer
If applicable: Skip Delivery days (list dates that you will be out of town or unable to receive delivery)
Your answer
How did you find out about our CSA? *
Your answer
If referred by someone, please write their name below, or if you remember the market but not a person's name, write which market you heard about it at instead. *
Your answer
Thanks for filling out this form! Do you have any comments or questions you want us to follow up with?
Your answer
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