Wild Carrot Farm 2017 Winter CSA Sign Up Form
Yes! I'd like to sign up for the 2017 Winter CSA season. The summer share will run 8 weeks, from October 31st through December 19th.
Email address
Last Name
Your answer
First Name
Your answer
Your answer
Phone Number
Your answer
Winter Veggie Share:
Scholarship Request
Scholarship Donation - I'd like to make a donation to the Wild Carrot Farm Scholarship Fund and help make scholarships available to my neighbors! I would like to donate this amount:
Your answer
Total Price:
Your answer
Thank You!
We look forward to sharing our harvest with you this year and will be in touch soon!
Please mail or drop off your $100 non-refundable deposit to the farm at

511 Upper Dummerson Rd, Brattleboro, VT 05301.

The remaining balance will be due at the first pickup unless you make arrangements for a payment plan, or want to pay with EBT.

A copy of your responses will be emailed to the address you provided.
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