2023 CSA Membership Form

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Welcome!

Email *

CSA Member Name(s) and Pronouns (if you choose) *

CSA Member Email Addresses (list all emails of those who should be kept in the loop!) *

CSA Membership Payment Selection (Sliding Scale) *

FULL Share Sustaining $990

FULL Share Contributing $825

FULL Share Supporting $660

HALF Share Sustaining $545

HALF Share Contributing $454

HALF Share Supporting $363

Work Share (I've already arranged this with Amanda)

Flower Share Add-On: Please add this total to your payment!

4 weeks $100

8 weeks $200

Fruit Share: 18 weeks of a variety of local fruit over the 20 + week season to allow for shortages. May be a mixture of IPM, Organic and Conventionally Grown grown fruits from an assortment of farms given the challenges and risks of growing perennial (tree) fruit in an unpredictable climate. Please add this total to your payment.

Yes, Please! $130 for the season

Pick Up Location *

On Farm

Worcester-location TBD-$30

Are you a returning member?

Yes

Clear selection

Form of Payment *

HIP/SNAP - the farm will reach out to complete the process

Cash - the farm will reach out to complete the process

Check: Please send ASAP, written out to Cotyledon Farm, to 253 Henshaw Street, Leicester 01524

Work Share (I've already arranged this with Amanda)

Please share why you chose to join the CSA, and what you hope to gain out of this season's share

Month Selected for Work Hours *

June

July

August

September

October

Opt Out for Full Share $200

Opt Out for Half Share $100

Work Share (I've already arranged this with Amanda)

Mailing Address, Please include Zip Code *

Member Contract

I agree to the terms listed in this contract, below.

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