Springdale Farm Sign-up Form 2018
We are now accepting subscribers for the 2018 season!

To join, complete and submit this sign-up form and then mail your check(s) to:

Peter Seely
Springdale Farm
W7065 Silver Spring Lane
Plymouth, WI 53073

We will send a confirmation e-mail upon receipt of payment.
If you do not receive an email confirmation within a week of sending payment, please contact us so we can be sure we have the correct email.

Please contact us if you have any questions about this sign-up form or about the farm in general!
email: info@springdalefarm.com
phone: 920 892 4856

For complete details about our CSA, please visit www.springdalefarm.com

First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Your answer
Street *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Second Full Name (if you are splitting a share with someone)
Your answer
Second E-mail Address (to receive newsletter)
Your answer
Second Phone Number
Your answer
Full Season Share (22 boxes, delivered every week)
The Every-Other-Week Share (The 'EOW' - 11 boxes, delivered every other week)
The Skipper Share (18 boxes, skip 4 dates of your choice)
Thanksgiving Share (delivered Nov. 14 or 16)
December Storage Share (delivered Dec. 5 or 7)
Chard/Kale Greens Share
Organic Eggs (all delivered every other week)
Assistance Fund Donation
(to help those unable to pay the regular price)
Your answer
Desired Pick-up Site *
Payment Options *
Required
Volunteer Opportunities
For new subscribers; please tell us how you heard about us!
Additional comments
Your answer
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