Bloomfield-Montclair CSA 2018 Registration
After filling out this online registation form, please make check(s) payable to:

CIRCLE BROOK FARM for $675 ($650 if received by 3/15/18) or
pay in two installments: $350 at registration and the balance ($325) due by June 1st

and, if applicable,


and mail them to:

Enid Melville
12 Valley Place
Upper Montclair, 07043

Upon receipt of your check(s), we will send you a confirmation email with your site assignment. Your registration is completed only after we have received your payment.

Email address *
First Name *
Last Name *
Alternative Name (spouse or alternate share name; NOT a split share name)
Street Address *
City *
State *
Zip *
Main phone *
this phone is a... *
Alternate phone
this phone is a...
Alternate Email Address
Share size *
If split share, partner's name
Would you also like a fruit share? ($345 for 23 week delivery.) Please note: you must first sign up for a vegetable share to join our CSA. *
Woud you also like an egg/poultry share? (If yes, we will send you a separate registration form.) *
Please indicate your FIRST CHOICE site preference. We will do our best to offer you your first choice *
Second Choice Site *
Are you currently a member of our Google Group *
Please give us any feedback or comments below:
As a CSA member, I understand that my responsibilities include: Attending an orientation meeting, picking my food up at the distribution site between the scheduled hours on Tuesdays, working 3 shifts per season, and committing to the farm, not to a set amount of produce. I understand that I share with the farmer the risks of growing and distributing the food. I will therefore share in the successes, as well as the failures, of the harvest. I support the goals of Community Supported Agriculture and want to be a member of this community /farmer partnership by sharing the economic responsibilities and the bounty of the vegetables, fruit and poultry. John Krueger, the farmer of Circle Brook Farm, is committed to planting and harvesting organically grown food to the best of his ability, with nature’s help and to deliver it to our pick-up site. *
A copy of your responses will be emailed to the address you provided.
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