Lewis Creek Farm Winter CSA 2017

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

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Last Name

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Name of any other adults who are sharing this CSA and might come to pick it up.

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Telephone Number

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Is there a second telphone number you would like us to have?

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Is there a scond email address you would like to have receive CSA notifications?

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Address

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Town

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State

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Zip Code

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Number of Adults

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Number of Children

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Pickup Site

Lewis Creek Farm, all weekend.
Burlington Farmers' Market, Saturday 10am - 2pm

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Your Fee. What is the amount you will be sending?

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Do you have other questions or comments?

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