Boston Area CSA Signup Name* First Last Email* PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Names and Emails of Additional MembersAre you a new or returning member?*New MemberReturning MemberIf you are a new member, who referred you?Please Choose a Pickup Location:Pickup Options*Somerville: Winter Hill Brewery (Tuesday)Medford: The Corner Studio (Tuesday)Brookline: Curds & Co. (Tuesday)East Cambridge: Clover HUB (Thursday)Central Square: Clover HFI (Thursday)Longwood: Clover LMA (Thursday)Boston: Clover FIN (Thursday)Kendall Square: Clover KND (Thursday)Harvard Square: Clover HSQ (Thursday)Boston: Clover DTX (Thursday)Burlington: Clover BUR (Thursday)Home Delivery- Note Fee BelowPlease Choose from Our Share Options:2021 Small CSA Share (+Fruit) Price: $515.00 Quantity: Feeds 1–3 people, June–October (20 weeks) 2021 Regular CSA Share (+Fruit) Price: $700.00 Quantity: Feeds 3–5 people, June–October (20 weeks) 2021 Add-On Regular CSA Share (+Fruit) Price: $140.00 Quantity: Feeds 3–5 people, (4 weeks leading up to Thanksgiving) 2021 Add-On Small CSA Share (+Fruit) Price: $100.00 Quantity: Feeds 2-3 people, (4 weeks leading up to Thanksgiving) Home Delivery 20 weeks Price: $150.00 Quantity: Get your farm share brought right to your door! 20 weeks $7.50/week. Please Select Payment Options:Discount Code: Full Payment Total: $0.00 Payment Options:*Pay in full nowSend a $100 deposit now, and the balance by May 15thSend a $200 deposit now and pay the balance by May 15thPayment Method:*Mail a check (preferred)Pay online using PayPal or Credit CardYou will be redirected to PayPal for payment. If you do not have a PayPal account, look for the "Pay with Debit or Credit Card" button.Membership Agreement (please check)*I understand that while Crimson & Clover Farm is planning for a bountiful 20-week harvest there is no guarantee of the exact amount or type of fruits and vegetables that I will receive through the season. I understand that my deposit is non-refundable. I Agree CommentsThis field is for validation purposes and should be left unchanged.