Lewis Creek Farm Winter CSA 2018
You can sign up here. You will still need to send your CSA Payment by mail.
See the bottom of this form for the Fee Schedule.
For full CSA information, see our website at LewisCreekFarm.com
First Name *
Your answer
Last Name *
Your answer
Name of any other adults who are sharing this CSA and might come to pick it up.
Your answer
Telephone Number *
Your answer
Is there a second telphone number you would like us to have?
Your answer
Email *
Your answer
Is there a scond email address you would like to have receive CSA notifications?
Your answer
Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Number of Adults
Your answer
Number of Children
Your answer
Pickup Site *
Your Fee. What is the amount you will be sending?
Your answer
Do you have other questions or comments?
Your answer
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