2018 CSA Member Signup
Fill out this form to become a member of our 2018 CSA. Thank you for joining our farm family!
Email address *
Shareholder Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Have you been a member of a CSA before? *
How many members in your family or group? *
How many people will be eating your weekly share?
Share Type *
Add-ons
Let us know if you are interested in the following add-ons, either weekly or less frequently. *Not available in Andes or Delhi.
Choose your Share Pick up Location: *
(multiple locations possible, i.e. Franklin Farmers Market until mid-October, then pick up at the farm for the remainder of the season)
Required
Would you like to discuss: *
Required
Payment Options *
We accept check, cash, and SNAP payments. Checks should be made out to "East Brook Farm". Payments can be mailed to or dropped off at: East Brook Community Farm, 2253 County Highway 22, Walton NY 13856.
Required
Amount you will pay for your share
$725 is the suggested price for a full share. $315 is the suggested price for a summer share. We welcome our members to support us with the amount that their particular food budget allows.
Your answer
Please include any questions or comments here:
Your answer
MEMBERSHIP AGREEMENT *
By becoming a seasonal member of East Brook Community Farm, I understand I am becoming a stakeholder and supporter of the 2018 growing season and of the educational work of the CSA. I understand there are risks in agriculture, and that crop yields are not guaranteed. I understand that I’m encouraged to participate beyond financial contribution to the farm. As a stakeholder in the farm, I recognize my role in the long-term viability of the CSA. I have read and understand the contents of http://eastbrookfarm.com/csa-information/.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.