2011-12 WINTER CSA PROGRAM SIGN-UP FORM

We only have a limited number of memberships available each season for New Subscribers. To be fair, any available spots will be filled on a first-come, first-served basis. Once we fill up, we will place all remaining applicants on a waiting list. If during the season a spot becomes available, we will fill it with an applicant from our waiting list in the order it was received. If you applied for last season and we did not contact you, you will need to re-apply for this season.

If you were a 2010-11 fall/winter subscriber, you do not need to fill out a new application. Just e-mail us at kes@bellsouth.net and tell us to renew your subscription for the 2011-12 fall/winter season.  If you have questions about prices, click here for "Prices and Payments". 

By submitting a sign-up form, you are not guaranteed a place. Please do not send any payments until you have received an email confirmation and invoice via email. You should receive these 2 emails by August 31.  NOTE: Many times our emails go into the recipients junk mail box, so please watch for emails from kes@bellsouth.net

Our 2011-12 season begins October 3, 2011 and will end on June 1, 2012.  All subscribers will receive a delivery or pick-up schedule, an invoice, and an informational letter via email before the season starts in October. For those applicants who do not reside here full-time, please let us know if you will be arriving after the October 3 start date. 

We recommend that everyone read the "Program Details" section to familiarize yourself with how our CSA program works, before making your selections below and submitting your sign-up form.

Receipt of your application will hold your place until payment is received on due date.  
Please provide the following contact information.  

First Name
Last Name
Physical Street Address
City
Zip
Home Phone (format: xxx-xxx-xxxx)
Cell Phone (format: xxx-xxx-xxxx)
E-mail

Provide your mailing address if different from your Street Address:

Street Address
City
Zip

Choose your box preferences below.  

Box Size  

Would you like to pick-up your box or have it delivered? 

If picking up at the farm, which day do you prefer? 

For those that pick-up, what part of the day will you be picking up at the farm? 

How often would you like to receive your box? 

What billing option would you prefer? 

Weekly farm newsletter - Nancy writes a weekly newsletter listing the contents of your box along with other important news about the farm.

For deliveries, please give directions and/or any special instructions:
If you live in a gated community, please give gate code or add us to your permanent gate access list. If we are unable to delivery your box because of denied access, it will be returned to farm for pick-up or donation and you will be charged for non-delivered box.

Where would you like your delivery person to leave your box? (i.e. front porch in cooler).
 (For example: Front porch, back porch, in cooler. If you will be leaving a cooler out for your delivery, please make sure it is large enough to hold all perishable items and have some type of ice pack.)

You may list up to 4 vegetables you do not wish to receive.  
These items will be excluded when part of the daily box content.

List up to 4 vegetables you especially like which will be used as substitutions for your excludes when applicable.
When we exclude a vegetable, we will try to replace it with one of these.  


Revised: August 01, 2011