Choose-Your-Own CSA application

Please read our CSA Rules and Detailed Information before completing your application.

2021 Choose-Your-Own CSA Application
Season
Please select a season.FULL - deadline is April 17, 2021Spring - deadline is April 17, 2021Summer - deadline is July 3, 2021Fall - deadline is September 18, 2021
First Name: *
Last Name: *
Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email: *
Phone: *
How did you hear about our CSA program?
Rules and Payment Information: *
I understand that payment is NON-REFUNDABLE and have read the “CSA Rules” and “CSA Detailed Information.”