CSA Sign-Up – Crimson & Clover Farm

Name*

First Last

Email*

Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Names and Emails of Additional Members

Are you a new or returning member?*

New Member
Returning Member

If you are a new member, who referred you?

(New members and those who refer them get $10 credit to the farm store)

Please Choose from Our Share Options:

2021 Early Season 6 week Add-On CSA Share

Price: $130.00 Quantity:

Feeds 2–3 people, 6 weeks starting 1st week of May.

2021 Small CSA Share

Price: $515.00 Quantity:

Feeds 1–3 people, June–October (20 weeks)

2021 Regular CSA Share

Price: $700.00 Quantity:

Feeds 3–5 people, June–October (20 weeks)

2021 Late Season Small Share Add-On

Price: $100.00 Quantity:

Feeds 1–3 people, Late October–Thanksgiving (4 weeks)

2021 Late Season Regular Share Add-On

Price: $140.00 Quantity:

Feeds 3–5 people, Late October–Thanksgiving (4 weeks)

Please Select Payment Options:

Discount Code:

Full Payment Total:

$0.00

Payment Options:*

Pay in full now
Send a $100 deposit now, an additional $100 payment in January, and the balance by April 1st
Send a $200 deposit now and pay the balance by April 1st

Payment Method:*

Mail a check (preferred)
Pay online using PayPal or Credit Card

You 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

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Please Choose from Our Share Options:

Please Select Payment Options:

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