Monthly Meat CSA Sign Up Form
Thanks for your interest in our monthly organic-grassed CSA (Community Supported Agriculture) program!

Take a look through the below CSA share options to get a sense of what we offer and let us know if you have any questions.

Once you're ready to sign up, please fill out this form as completely as possible to get your CSA started. Once this form is submitted, we will contact you (usually within 2-5 days) to confirm and send an invoice based on your selected duration, pickup location or delivery address, & desired amounts of meat, eggs, and dairy.

If opting for pickup of your CSA, feel free to ignore home delivery related questions at end of form.

If you are opting for home delivery, note that each month we will email you mid-month with different delivery day options to schedule the delivery. Then we will wait for your email confirmation about your choice of delivery times.

***To have your meat share delivered with a Three Plaid Share, please fill out our weekly form instead.

Thanks again,

Mint Creek Farm
(815) 953-5682

Meat CSA Type *
Briefly summarize customization requests, if applicable (extra charge may apply)
Your answer
Size *
Length *
Should we add eggs to your share every month?
Select one pick-up location
Is this a gift? *
If yes please provide your name and email here and enter the CSA Share recipient's information in the fields below.
Your answer
Name *
Your answer
Email Address *
Your answer
Payment/renewal contact phone number *
Your answer
Are you expecting our farm's delivery van or UPS deliveries?
Your answer
Unit or Apartment # (if applicable)
Your answer
If no answer at door, should we call or text your delivery contact phone number?
If no answer at door/via phone, where can we leave CSA? (stoop, porch, with doorman, etc.)
Your answer
Delivery contact phone number
Your answer
If referred by someone, please write their name below, or if you remember the market but not a person's name, write which market you heard about it at instead. *
Your answer
How did you find out about our CSA? *
Your answer
Thanks for filling out this form! Do you have any comments or questions you want us to follow up with?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms