Take Five Farm 2014 Farm Share Sign-Up
Please use this form to sign up for a 2014 Farm Share with Take Five Farm in Floyd, VA. Visit our website at www.TakeFiveFarm.com/2014-farm-shares/ for additional information.
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Please provide the name, address, email and phone number of the primary contact for your farm share. *
How do you prefer to be contacted regarding your weekly farm share? *
Have you read the Frequently Asked Questions page at www.TakeFiveFarm.com/farm-share-faq/ ? *
Please tell us about the people that will be enjoying the farm share.
How many people will typically be enjoying your share each week?
One
Two
Three
Yikes! Better get another share :-)
Adults
Children
Clear selection
Does anyone have a food allergy?
Clear selection
If so, please list them here:
Are there any foods that you absolutely positively will not eat - ever.
For instance, my dad refuses to eat anything with mushrooms in it (can you imagine!)
If so, please list them here:
Which fresh vegetables would you most like to receive as part of your share this year?
What kinds of items are you most interested in receiving?
Please choose your top 3 or 4 categories.
Have you participated in a CSA or farm share program before?
Clear selection
If so, please tell us briefly what you liked and did not like about the program.
Please tell us about your expectations (or any concerns you have) about participating in our farm share program.
What's Next
Thank you for signing up to participate in our 2014 Farm Share program. We'll be in touch with you via your preferred contact method to confirm your registration and coordinate with you the details of your delivery schedule, start date, etc.

The next step in the process is to pay your refundable container deposit which you may do via our website http://takefivefarm.com/shop/ (for credit card or PayPal payments) or you may send a check for $100.00 made payable to Take Five Farm LLC to PO Box 115, Floyd, VA 24091.

Please do not pay for your first week/month's share until we have contacted you about your start date.

Thank you again and we look forward to growing and sharing with you this year!

Morgan & the entire Take Five Farm staff
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