2018 HarvestShare Registration Form
First name *
Your answer
Last name *
Your answer
Address (Street Address, City, Zip Code) *
Your answer
Email (Please include everyone in your household who wants email updates! Weekly newsletter updates include what's in the box each week, special event announcements, produce info/cooking tips, and more.) *
Your answer
Phone number (Enter your cell number to receive weekly pick-up reminders via text message, once the season starts.) *
Your answer
How did you learn about HarvestShare?
Your answer
Purchase a share for your own household!
Schedule:
First pick-up is Sat., Oct. 27
Last pick-up is Wed., Dec. 12
*Final delivery is two boxes, with extra storage veggies for the winter

Box Size Description:
- FULL BOX: 8-10 items (example items: a pint of strawberries or a pound of tomatoes), ideal for households of 3+ people, or vegetable-lovers.
- HALF BOX: 4-5 items/week, ideal for households of 1-2 people.

Cost:
FULL BOX: Approx. $26.50/week = $220 Cool Season

HALF BOX: Approx. $13.25/week = $110 Cool Season

Payment information:
(also available at http://anathothgarden.org/harvestshare-csa/)
- Pay with a check: Made out to Anathoth Community Garden, mailed to Anathoth Community Garden, PO Box 138, Cedar Grove, NC 27231.
* Installment plans, using post-dated checks, available. Contact anathothgarden@gmail.com for more info!
- Pay for a purchased share online: PayPal option at http://anathothgarden.org/harvestshare-csa/payment-info/

Choose your box size for your own household
Donate a share for another household!
Please consider sharing the harvest! Donated shares go to households referred to us by the Family Success Alliance, Orange County Rural Alliance, Orange County WIC Program, Prospect Hill Community Health Center, churches, local Cedar Grove community members, and other HarvestShare members.
*All donated share costs are tax-deductible.

Cost:
FULL BOX: Approx. $26.50/week = $220 Cool Season

HALF BOX: Approx. $13.25/week = $110 Cool Season

Payment information:
(also available at http://anathothgarden.org/harvestshare-csa/)
- Pay with a check: Made out to Anathoth Community Garden, mailed to Anathoth Community Garden, PO Box 138, Cedar Grove, NC 27231.
* Installment plans, using post-dated checks, available. Contact anathothgarden@gmail.com for more info!
- Pay for a donated share online: https://donatenow.networkforgood.org/anathothgarden

Choose the size for your donation(s) to another household
Thank you! All donations are tax-deductible.
I can pitch in: $
Your answer
Optional share recipient referral (You can also donate a box without designating a recipient -- we connect with most recipients via local health, social service, and faith organizations)
Your answer
Receive a share for your own household!
Sign up to receive a share at no cost. Approximately half of all shares go to those receiving a share at no cost -- but we are still limited by our growing capacity and by our need for matching.
Choose your pick-up location.
We try to partner with churches to provide safe, sheltered, and convenient drop-offs for the most HarvestShare participants in a particular area. We're open to starting new pick-up spots if at least 10 households commit to picking up at that spot.
Pick-up locations: *
Required
If you're starting a new pick-up spot, provide info here:
Your answer
Community Workday Commitment
Community Workday Schedule: Meet at the garden, Saturdays, 9-1, with a potluck meal at 1. You are always welcome at any point during that window. First winter workday is Sat., Feb. 4, then main season workdays are every Saturday, March-Oct. Final winter workdays are Sat., Nov. 3 and Dec. 1. Garden address: 3005 Lonesome Rd., Cedar Grove, NC 27231.
*
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms