Merville Organics 2018 Summer CSA
Sign up here to become a 2018 CSA member. Thank you for supporting local farms!
Email address *
The Summer 2018 CSA will run for 16 weeks
Start date: Friday 1st June // End date: Friday 21st September
Shares that include an in-town pick-up include an extra transport fee.
Name (First and Last) *
Your answer
Mailing address *
Your answer
Phone number *
Your answer
Method of payment *
CSA Share Pick-up Option (Please pick only one!) *
Donation Boxes
If you would like to include a donation towards a CSA share for a family in need, please indicate an amount below and add it to your total. This will be our fourth season of delivering vegetables to a family chosen with the help of the Immigrant Welcome Center! Please include your desired amount in your payment for your share (eg. please send one total payment).
Donation Box Amount
Your answer
How to pay for your share
Once you have filled in this form and chosen your preferred share option, you can pay by one of two options.

#1 CHEQUES - Write cheques to MERVILLE ORGANICS and mail to 2641 KIRBY RD, COURTENAY BC V9J 1T3.

#2 E-TRANSFER - You can send an e-transfer to <> If you are using this option, please make your password "mervilleorganics" no quotes.
(E-transfers are easy and instant! If you're not sure how to send one your local bank branch can help)

We must be there to meet you and receive your payment in person. Thank you!

Please confirm that you have read our 2018 CSA program policy (You can read it here: *
Did someone refer you to our CSA? If so, please enter their name, phone number, and email address below. For each new CSA member you refer, you'll get a $10 market credit to use at Merville Organics farm stand at the Comox Valley and Cumberland farmers' markets.
Your answer
Thank you for becoming a member of our 2018 Community Supported Agriculture program! We value your support.
You will be emailed a copy of your responses for your records and as a confirmation of registration.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms