Sweet Land Farm ~ 2018 Summer ~ Healthy Food For All CSA Share Application ~
Sign me up! For 23 weeks (mid-June through mid-November) of abundant locally grown, organic produce!
Spaces are limited and reserved on a first come, first serve basis. To ensure your space, fill out and submit this application and send in your check today or pay with PayPal on the HFFA Page of the Sweet Land Farm website www.sweetlandfarm.org!

Send a $50 check deposit or first installment to:
Sweet Land Farm: 9732 State Route 96, Trumansburg NY 14886
* if sending a check, please write 'summer csa 2018 HFFA' on the memo line

If you choose to pay in installments, consider sending in all four checks at
once, each dated with a different installment due date. We will file them and then
process them on the appropriate date. This method will hopefully make everything easier for you, and the farm. (see installment dates below)

~ First check – whenever you join. This check ensures your share and gives us some seed money.
~ 2nd installment- July 15th
~ 3rd installment- August 15th
~ 4th installment- September 1st
All payments are due September 1st.

*To pay using Cash or EBT-Food Stamps, please contact the farm.

***PLEASE NOTE- After filling out this application you *MUST* send in a check for your first payment
- OR-
get in touch with your farmer right away to make payment arrangements via cash or EBT.***

Thanks!

Questions? Please get in touch! Email: sweetlandfarmcsa@gmail.com

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SPECIAL INFORMATION regarding our shares:

All pick-ups will take place on the farm on either Tuesdays 1pm-7pm or Fridays 1pm-7pm.
Shares are flexible and can be tailored to your needs with both rationed and un-rationed produce selections as well as you-pick.

There are 2 share sizes to choose from:
One Adult Household Share- $275
Two Adult Household Share- $325

Name *
Your answer
Address
Your answer
Phone number(s)
Your answer
Email
Your answer
Income Eligibility Charts
please refer to the charts below and confirm that you are income eligible for the HFFA Solidarity CSA Share.
My household is income eligible for HFFA Solidarity CSA Shares *
Please refer to the above charts and confirm that your household is income eligible. Eligibility is determined by gross income (before taxes) and family size.
I am applying for the following Sweet Land Farm CSA Share and will make my payment(s) as follows: *
Please make sure you check the correct share size and payment option!
I would like to pay for my share using EBT/Food Stamps
If using EBT to pay for your share, please contact your farm.
Important note regarding EBT! HFFA is happy to take EBT payments for your CSA share! EBT payments can be made at Greenstar Cooperative Market. After making your EBT payment at Greenstar, you MUST save your receipt and provide it to your farmer ASAP, with you name written on it, as proof of payment. Greenstar can also email you a receipt that you can then forward to your farmer. If you fail to provide your Farmer with a copy of your EBT payment receipt, your payment will not count! HFFA CSA members are also eligible to become members of Greenstar's FLOWER program. FLOWER members receive a 15% discount off most products purchased at Greenstar! And membership can automatically verify CSA payments made via EBT at Greenstar.
for more information on the FLOWER program please visit http://www.greenstar.coop/flower or contact healthyfoodforall.ithaca@gmail.com.
HFFA would like to start a CSA Buddy program this year! This program would match experienced CSA members who are very comfortable with the CSA process with CSA members who are less comfortable with the process. The Buddy would serve as a mentor and resource to CSA members who need assistance navigating any aspect of the CSA experience. Would you be interested in:
I have read the Sweet Land Farm Member Handbook. (Please find the handbook at http://www.sweetlandfarm.org) *
In order to participate, it is required that you read the Member Handbook.
Healthy Food For All is made possible through grants that require us to report the following information. Your answers will remain strictly confidential. Thank you.
How many adults are in your household?
Your answer
How many children are in your household?
please also indicate their ages
Your answer
Is your household a single-parent family?
a single-parent family as defined by one parent who lives with their dependent child(ren) alone -or- in a larger household without a partner.
Do any of the children in your household attend Beverly J. Martin Elementary School?
Do any of the children in your household participate in programs at GIAC and/or Southside Community Center?
Please indicate which programs you participate in:
please check all that apply
Did you participate in a CSA last year?
How did you hear about Healthy Food For All?
please check all that apply
On average, how many servings of fruits and vegetables do you consume in a week?
1 serving = 1 cup salad or 1/2 cup cooked vegetable or 1/2 cup fruit
Your answer
On average, how many servings of fruits and vegetables do the children in your household consume in a week?
Your answer
On average, how many different types of vegetables do you consume in a week?
Your answer
On average, how many different types of vegetables do the children in your household consume in a week?
Your answer
What ethnicity do you identify with?
Your answer
How often to you check your email?
***PLEASE NOTE- Your space in the CSA is NOT reserved until your DEPOSIT is RECEIVED by the farm.*** Thanks! *
if you plan to pay your deposit using EBT/Food Stamps, please contact the farm
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