Cully Neighborhood Farm CSA Sign Up Form
Please complete this form to sign up for CSA from Cully Neighborhood Farm. Once we've received your completed sign up form we'll send you an invoice with payment information within a few days. Note: Josh at Slow Hand Farm is handling the payments and sign-ups for Cully Neighborhood Farm this year. Please contact josh@slowhandfarm.com for any questions about signing up or paying for the season. Your CSA Share will only be reserved for you with a deposit equivalent to the full Spring CSA share price.
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Email *
New or Returning Member? *
If you've never been part of Cully Neighborhood Farm's CSA, choose 'New'
Member Agreement Acknowledgment *
If you haven't read the member agreement, please view it here:
Required
How did you find out about us?
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First Name (primary contact) *
Last Name (primary contact) *
Phone *
First Name #2 (if sharing)
Only use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Last Name #2
Only use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Email #2 (if sharing)
Only use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Phone #2 (if sharing)
Only use this line if you have a share partner who wants to also be listed on the share and to receive any updates from the farm.
Street Address
Address is only required if you want to use SNAP to pay
City
Address is only required if you want to use SNAP to pay
State
Address is only required if you want to use SNAP to pay
ZIP Code
Address is only required if you want to use SNAP to pay
Choose one or more seasons to sign up for *
Check all three boxes to sign up for the full year or pick and choose the ones that fit your preferences best. Prices are listed on the website and in the member agreement. By clicking these boxes you are committing to paying for your share in full by the beginning of each season unless you request other payment options that are approved in advance by the farm.
Required
Pickup Day *
These are not set in stone. Contact us if you ever need to change and we'll try our best to accommodate changes.
Preferred Payment Method *
Anything else you'd like to tell us?
A copy of your responses will be emailed to the address you provided.
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