Springdale Farm Sign-up Form 2017
Deliveries for the 2017 season have already begun but we still have spots open!

Please email info@springdalefarm.com for the current prorated price of each share option.

To join, complete this sign-up form and then mail your check(s) to:

Peter Seely
Springdale Farm
W7065 Silver Spring Lane
Plymouth, WI 53073


We will send a confirmation e-mail upon receipt of payment.


For complete details about our CSA, please visit www.springdalefarm.com

First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Your answer
Street *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Second Full Name (if you are splitting a share with someone)
Your answer
Second E-mail Address (to receive newsletter)
Your answer
Second Phone Number
Your answer
Quarter Share
Half Share
Full Share
Chard/Kale Greens Share
Half Dozen Eggs (delivered every other week)
Dozen Eggs (delivered every other week)
Extra Eggs
Your answer
Storage Share (delivered 2nd week of December)
Extra Standard Storage Shares
Your answer
Assistance Fund Donation
(to help those unable to pay the regular price)
Your answer
Desired Pick-up Site *
Payment Options *
Required
Volunteer Opportunities
Additional comments
Your answer
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