East Brook Community Farm 2021 CSA sign-up
Thanks for your interest in our 2021 CSA! Please refer to eastbrookfarm.com/CSA for help with anything on this form that is unclear or email us at eastbrookcommunityfarm@gmail.com. Once you have signed up, you will be contacted to confirm your CSA membership!
Email address *
Shareholder Name *
Address *
Phone Number *
Have you been a member of a CSA before? *
If you're signing up with us for the first time, how did you find out about us?
How many members in your family or group? *
Approximately how many people will be eating your share?
How much will you pay for your share on our sliding scale? *
PLEASE SEE eastbrookfarm.com/csa FOR MORE INFORMATION ON OUR SLIDING SCALE. We ask CSA members with the means to pay at or above market rate so that lower-income CSA members can receive their share at a price that is more within their budget. If you are unsure what to pay or do not wish to engage in the sliding scale, we invite you to pay the market rate. IF YOU HAVE ANY QUESTIONS ABOUT OUR SLIDING SCALE or if $20/wk is still not accessible to you, please email us at eastbrookcommunityfarm@gmail.com or call us at 607-865-5529
Choose your Share Pick up Location: *
If you are unable to pick your share up at any of these locations or would like to vary your pickup location throughout the season, please send us an email (eastbrookcommunityfarm@gmail.com) or give us a call (607-865-5529)
Share Type *
Don't see an option that works for you? Select "other" and tell us your thoughts. We'll see what we can do!
Would you like to pick up your share weekly, or every other week? *
If you don't need a full share of veggies each week, you can choose an every other week share - we'll pack you a share on alternating weeks, and only charge you for those weeks!
Would you like to discuss:
Check any of the below and we will contact you!
Total amount you will pay for your share *
To calculate your final amount, please multiply the total number of weeks of your share by the weekly sliding-scale price you selected. For example, for an every other week full season share at market rate, this is 12 weeks x $30/week = $360
Payment Options *
We accept check, cash, and SNAP payments. Checks should be made out to "East Brook Community Farm". Payments can be mailed to (or dropped off at, with prior notice): East Brook Community Farm, 2253 County Highway 22, Walton NY 13856.
Please include any questions or comments here,
Or feel free to give us a call or send us an email! (607) 865-5529 // eastbrookcommunityfarm@gmail.com.
I understand that submitting this signup form does not guarantee me a share at the price I have listed until I have received confirmation from the farm. By becoming a CSA member of East Brook Community Farm, I understand I am a stakeholder in and supporter of the 2021 growing season. In exchange for my contribution, I know that the farmers of EBCF promise to do their darnedest to provide me with an abundance of nutritious, sustainably-grown produce. I understand there are risks in agriculture, and that, while EBCF's farmers are experienced and responsible, crop yields are not guaranteed due to weather events and the like. I understand that I’m encouraged to participate beyond financial contribution to the farm, in such ways as: volunteering time/skills, attending workshops / potlucks / community gatherings. As a stakeholder in the farm, I recognize my role in the long-term viability of the CSA. I have read and understand the contents of http://eastbrookfarm.com/csa/.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy