2021 CSA Membership Form
Please complete all information - any questions please contact us by email
Email address *
Name - please list all members for this share *
Secondary email and/or additional member email
Mailing Address *
Phone - to reach you during CSA pick up (text) *
Alternate phone-specify work/home/member name
CSA Delivery Location - Choose one *
Payment Method *
Payment Options *
Payment Plan options after deposit
Clear selection
Online Payments Only - would you like to request online invoicing
Clear selection
Membership Agreement *
Required
How did you learn about our CSA? Feel free to leave any other information we should know here.
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