Backlund Acres CSA Registration

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Please complete the information below and we will email you an invoice that can be paid online using a check.

Name: *

Email Address: *

Address for delivery or pick up: *

Phone number that can receive text messages about delivery: *

CSA Vegetable Bag Size: *

Egg Share?
*

None

1 dozen/ week

2 dozen/ week

3 dozen/ week

Microgreen Share
*

None

Small (pint sized)

Large (quart sized)

Fall season extension and egg add-on?
*

None

Yes, 1 dozen eggs

yes, 2 dozen eggs

Chicken Share?
*

None

Yes, cut chickens, size small

Yes, cut chickens, size medium

Yes, cut chickens, size large

yes, whole chickens, size small

yes, whole chickens, size medium

yes, whole chickens, size large

Autre :

Sheep's Milk Cheese Share?
*

None

Yes

Flower Share? *

None

Half (delivered every other week)

Whole (delivered every week)

Who referred you?

Envoyer

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