City Space 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.

Last Name *
Your answer
First Name *
Your answer
Home Zip Code *
Your answer
List email address(es) to which you will receive confirmation and weekly newsletter (if multiple, separate with a comma) *
Your answer
Phone Number *
Your answer
How many veggie shares would you like to purchase? (single-$470, double-$925)
How many Medley shares would you like to purchase? (Single-$605, Double- $1195)
How many Fruit Shares would you like to purchase? (Single-$345, Double- $675)
How many Egg Shares would you like to purchase? (Must be purchased in addition to a Veggie, Medley, or Fruit Share) (Single-$140, Double- $275)
How many Winter Shares would you like to purchase? (All Winter Shares must be pick up at West End pick up site.) (Single-$285, Double-$560)
If you are purchasing a Winter Share, would you like the following customizations?
Pick-up Site for Veggie, Fruit, Medley, & Egg Shares (All Winter Shares must be picked up at the West End Farmers Market site) *
Main Season Vacation day #1 (please list the Tuesday or Wednesday you will miss between Apr. 30th & October 23rd)
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Main Season Vacation day #2 (please list the Tuesday or Wednesday you will miss between Apr. 30th & October 23rd)
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Winter Share Vacation day if applicable (between Oct. 29th & Dec. 17th)
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Total Amount Owed *
Your answer
Payment (must be paid in full by April 15) *
Submit
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