C&C Farm SNAP Share Sign-up
Si necesita ayuda en español, comuníquese con Michael al 1-413-320-4799x109 o a michael@growfoodnorthampton.org

Hello from Grow Food Northampton! Spring is (almost) upon us, and we're happy to again partner with Crimson & Clover Farm to offer this reduced-price CSA share.

To sign up, please fill out the following form. In April, we will then mail you a paper copy of a 'Membership Agreement' - a document that allows us to schedule payments from your SNAP account to the farm - along with a stamped return envelope. Once you return the Membership Agreement, we'll schedule your payments with DTA and you'll be good to go. Don't hesitate to reach out with any questions or concerns about how this works.

Your total cost will likely be less than half the full price of the share, depending on what size you get and how large your HIP reimbursement is. As a reminder, families of 1-2 people get up to $40/month in HIP, families of 3-5 get up to $60/month, and families of 6+ get $80/month. See below for more details.

If you need assistance, contact Erin at 1-413-320-4799x104  or erin@growfoodnorthampton.com

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Primary Member Info
In this section, enter information about one primary contact for the program who is the Head of Household for SNAP/DTA purposes. Another person's info can be entered later.

En esta sección, ingrese información sobre el contacto principal para el programa que es el Jefe de Hogar de SNAP / DTA.  La información de otra persona se puede ingresar más tarde.
Pricing Information
First Name *
Last Name *
email *
Preferred Phone *
Other Phone
Mailing Street *
Mailing City *
Mailing Zip *
Have you ever had a CSA share at our farm before? *
What type of share do you think you want? *
Small shares are 6 choices per week and Large are 9 choices. Regular Season is 20 weeks and Extended Season is 24. Details at crimsonandcloverfarm.com.
Household Size (for SNAP/DTA)
Not required, but helps us determine your HIP benefit.
Monthly SNAP benefit
Not required, but helps us know which share option might be most beneficial for you.
Thinking about the past month, how confident have you felt in your ability to meet your daily food needs?
Not at all confident :-(
Very confident :-)
Clear selection
Thinking about the past month, how healthy have you felt?
Not at all confident :-(
Very confident :-)
Clear selection
Any comments or questions?
Is there another member we should add contact info for?
Clear selection
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