Member Registration Form
Email address
Offerings include weekly pickups of the following items. Each item includes 30 weeks of produce. You will receive each of your selections on a weekly basis. Please select from the items listed below.
Check all that apply
Vegetables in Season ($25 box)
Grass-fed hamburger ($8 lb.)
Eggs ($3 half doz.)
Sourdough rye bread ($5 loaf)
Aged raw milk cheddar cheese ($6 wedge)
Strawberries, Plums & Apples ($4 basket)
Calculating your total
Please send your check for the amount indicated by your selection above to Lopez Community Farm CSA, 2143 Lopez Sound Road, Lopez Island, WA 98261.

To calculate your total, add up each item you've selected and multiply that sum by 30 weeks. For example, if you select 'Vegetables in Season' plus 'Eggs' plus 'Sourdough rye bread' you would add $25 + $3 + $5 = $33 per week multiplied by 30 weeks for a grand total payment of $990 for your CSA Membership for the year. Your payments will be collected on a quarterly basis.

A copy of your responses will be emailed to the address you provided.
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