2018 CSA Sign-up
Last Name (s) *
Your answer
First Name (s) *
Your answer
Addresss *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Area Code *
Your answer
Phone number *
Your answer
Alternate phone number
Your answer
Email *
Your answer
Additional email
Your answer
Size share *
Favorite Vegetables
Give us three of your most loved veggies!
Your answer
Disliked Vegetables
Give us your "never eat" shortlist, and we will do our best to avoid this item in your box.
Your answer
Donate share while on vacation?
If you are not able to pick up your weekly veggies during the season, you have two options—take a credit to your account, or donate your veggies for that week. The recipient is usually the Pittsburgh Food Bank.  If you check "yes", we’ll assume that when you are away, veggies will be donated. 
Are you willing to be a host drop-off location? *
See FAQ for more details on hosting including a 1/3 discount on your veggie share!
Do you want rhubarb? *
If you would rather not get any rhubarb, please indicate no because our supply is limited.
Add On Items
We offer a variety of "add-ons" to your weekly veggie box. They include shade grown coffee from Building New Hope (a farmers’ cooperative), Pennsylvania hand crafted cheeses, mushrooms grown in PA selected by Wild Purveyors, and organically raised chickens. For more detailed descriptions, prices, and schedules go to our "Add-Ons" page.   
Ground Coffee
lb./mo. @$12/lb
Your answer
Whole Bean Coffee
lb./mo. @$12/lb
Your answer
Ground Decaf Coffee
lb./mo @$13/lb
Your answer
Chickens
birds/mo. @$5/lb
Your answer
Mushroom Medley
Mixed boxes/mo. @$20/box With each Mushroom Medley pack we select a different combination of mushrooms to provide you the opportunity to explore new mushrooms, or just the renewed opportunity to enjoy delicious mushrooms and experiment with new recipes.
Your answer
Best of PA Cheese Variety Pack
This is a hand-picked variety of cheeses made in Pennsylvania. Three different cheeses every month!
Your answer
Otterbein Acres Goat Milk Feta
Packages/mo. $8.50/half# package
Your answer
Goat Rodeo Chevre
Tubs/mo. @$5.25/six ounces tub
Your answer
Stone Meadow Farm Cheddar
Packages/mo. @$8/half#package
Your answer
King's Creamery Gouda
Packages/mo. @$8/half# package
Your answer
Stone Meadow Farm Swiss
Packages/mo. @$8/half# package
Your answer
Goat Rodeo Stampede (manchego type)
Packages/mo. @$8/half# package
Your answer
Goat Rodeo Chickabiddy (camembert style)
Units/mo. @$6/six ounce pyramid
Your answer
Are you interested in winter veggies?
Are you interested in grass fed beef?
Our neighbors, Lewis Farms, raise grass fed beef, please respond 'yes' if you would like to be added to their mailing list.
Special Notes
Let us know if you have specific vacation dates planned, if you want ONLY organic items (occasionally we include non-organic items from trusted growers ie corn, peaches) or if you have a known food allergy.
Your answer
How did you find out about us? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.