Caldwell CSA 2021 Application
Please take a few minutes to complete this form and then drop off/send a check for the share following the last two prompts at the end of this form.  If you are splitting a share, please use both "member 1 and member 2" fields on this form.  
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Email *
Member 1 Full Name *
Member 1 Phone Number *
Member 1 Email Address *
Member 2 Full Name (if splitting a share)
Member 2 Phone Number (if splitting a share)
Member 2 Email Address (if splitting a share)
I support the goals of Community Supported Agriculture and want to be a member of this community/farmer partnership by sharing the economic responsibilities and the bounty of the vegetables.  John Krueger, the farmer of Circle Brook Farm, is committed to plant and harvest organically grown food to the best of his ability, with nature’s help and to deliver it to our pick-up site.  As a CSA member, I understand that my responsibilities include: Picking my food up at the distribution site between 3:00- 7:00 pm on Tuesdays, working 2 shifts per season, and committing to the farm, not to a set amount of produce.  I understand that I share with the farmer the risks of growing and distributing the food.  I will therefore share in the successes, as well as the failures, of the harvest. *
Please type your name and the date below in agreement.
I will drop off a CSA share check payable to Circle Brook Farm to Shana Dastur, 139 Forest Avenue, West Caldwell, NJ 07006. *
I will send a membership fee ($20 full/ $10 half) via Venmo (@Shana-Dastur) or Paypal ( *
Thank you for completing this form!  Please email Shana Dastur at with any questions.  
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