Cully Neighborhood Farm CSA Sign Up Form
Please complete this form to sign up for CSA from Cully Neighborhood Farm. Once we've received your completed sign up form we'll send you an invoice with payment information within a few days. Note: Josh at Slow Hand Farm is handling the payments and sign-ups for Cully Neighborhood Farm this year. Please contact josh@slowhandfarm.com for any questions about signing up or paying for the season. You can contact matt@cullyneighborhoodfarm.com for any other questions.
Email address *
New or Returning Member? *
If you've never been part of Cully Neighborhood Farm's CSA, choose 'New'
Member Agreement Acknowledgment *
If you haven't read the member agreement, please view it here: https://cullyneighborhoodfarm.files.wordpress.com/2019/01/2019cnfmemberagreement-1.pdf
Required
How did you find out about us?
First Name (primary contact) *
Your answer
Last Name (primary contact) *
Your answer
Phone *
Your answer
First Name #2 (if sharing)
Use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Your answer
Last Name #2 (if sharing)
Use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Your answer
Email #2 (if sharing)
Use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Your answer
Phone #2 (if sharing)
Use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Your answer
Street Address
Address is required if you want to use SNAP to pay
Your answer
City
Address is required if you want to use SNAP to pay
Your answer
State
Address is required if you want to use SNAP to pay
ZIP Code
Address is required if you want to use SNAP to pay
Your answer
Choose one or more seasons to sign up for *
Check all three boxes to sign up for the full year or pick and choose the ones that fit your preferences best.
Required
Pickup Day *
These are not set in stone. Contact us if you ever need to change and we'll try our best to accommodate changes.
Preferred Payment Method *
Anything else you'd like to tell us?
e.g. let us know if you'd consider splitting your share
Your answer
A copy of your responses will be emailed to the address you provided.
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