2018-19 Sunnyside CSA Winter Contract
This form is for all 2018-19 Winter Shares. You will receive a confirmation email after submitting your application.

PLEASE NOTE: Your share is not official until we receive payment. Once payment is complete, you will receive another confirmation email that you are signed up.

FINAL DEADLINE FOR PAYMENT IS NOVEMBER 18th

PICK-UP SHARE DATES: Dec 13, Jan 10, Feb 7, and Mar 7 from 5-8:00pm at Sunnyside Community Services.

I am a returning member *
MEMBER INFO
This is the main name/info that your share will be listed under for pick-up each week.
Primary Member First Name *
Your answer
Primary Member Last Name *
Your answer
Primary Member Email *
Confirmation emails will be sent to this address.
Your answer
Primary Member Phone *
Your answer
ADDITIONAL MEMBER INFO
You may list up to two additional people for share pick-up and info.
#1 First Name
Your answer
#1 Last Name
Your answer
#1 Email
Your answer
#1 Phone
Your answer
#2 First Name
Your answer
#2 Last Name
Your answer
#2 Email
Your answer
#2 Phone
Your answer
SHARE SELECTION
Please select the type and number of shares you would like. For more information about what each share includes, check out sunnysidecsa.com/food-we-offer. If you are interested in more than three shares of something, please contact us.
Root Vegetable Share
$116 for 4 deliveries. Each box contains 15+ lb of organic root vegetables and winter greens from Golden Earthworm Organic Farm. Price includes $4 CSA admin fee.
Apple Share
$29 for 4 deliveries of 4 lb bag of apples from Briemere Farm.
Cider Share
$23 for 4 deliveries of 1/2 gallon fresh-pressed apple cider from Briemere Farm.
Frozen Vegetable Share
$137 for 4 deliveries of jarred and frozen foods from Farm Bridge. Price includes $5 CSA admin fee.
Soap Share
$45 for 4 deliveries of 2 handmade soaps, weighing ~4 oz each from Backyard Bees.
Donation to the Subsidized Share Program *
Your donation helps offset the cost of shares for low income households. More information on this program is available at sunnysidecsa.com/subsidy-program.
PAYMENT INFO
Amount Due (total shares, plus donations) *
Your answer
PAYMENT OPTION *
Please include the primary member name on your payment
SPLIT SHARES INFO
IF YOU DECIDE to split your share(s) with multiple households, regardless of the amount of people splitting, the Primary Member is ultimately responsible for payment and volunteer hours. Splitting payment and hours is acceptable, but each Additional Member needs to indicate the Primary Member account they are applying their portion (payment or volunteer hours) towards.
SUNNYSIDE CSA SHARE AGREEMENT
In joining the Sunnyside CSA, I agree to ALL of the following:
*
Required
OPT OUT
Sunnyside Community Services
Sunnyside Community Services is the community center that hosts the weekly pick ups, and will occasionally send newsletters with community information. They will not share your info. If you would like to opt out of these communications, please indicate below.
Golden Earthworm Farm
Golden Earthworm Farm sends information to the CSA communities it serves via email newsletters. These contain updates about the harvests, and produce expected each week. They will not share your info. If you would like to opt out of these communications, please indicate below
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