2022 CSA Sign Up Download our 2022 CSA BrochureClick here if you need financial aid. 2022 CSA Sign Up Name* First Last Email* PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What type of CSA share would you like?* Full Share - $650 Individual Share - $450 Pro rated - Summer Resident Salad Share - $200, Farm Pickup Only Financially Supported Share/Pay What You Can Honor System Sliding Scale What type of Financially Supported Share are you interested in? Full Share Individual Share We rely on the honor system to offer our CSA shares at a reduced cost. If you are in need of financial assistance beyond the prices below, please fill out this form: https://www.blueheronfarmvt.com/application-for-financially-supported-csa-shareWhat type of pro-rated share would you like? Full Individual Summer Resident - Full$40 per week, enter number of weeks. Price: $40.00 Quantity: Summer Resident - Individual$25 per week, enter number of weeks. Price: $25.00 Quantity: For those who would like to access our honor system sliding scale: Full Share $575 Full Share $600 Individual Share $375 Individual Share $400 Do you want a Certified Organic Egg Share? 1 dozen per week $108 Half dozen per week $54 No Do you want a Certified Organic Chicken Share?$50 deposit, $5.95 per lb 5 birds 10 birds No Do you want a Wally's Place Bread Share?18 weeks $118, THURSDAY DELIVERY ONLY Yes - 18 weeks No Do you want a Perky Planet Coffee Share?1 lb of coffee each week for 18 weeks, Whole Bean or Ground, $252. ($14 per week) Yes - Whole Bean Yes - Ground No Do you want off-farm delivery?*$50 delivery fee Yes No Where should your CSA be delivered?* UVM Medical Center Northwestern Medical Center, St. Albans Rail City Market - St. Albans Milton - Maplewood Ave Other Enter Other Delivery Location: What is your preferred day for on-farm pickup?*CSA pickup is at the farm in Grand Isle Monday 4-6:30pm Thursday 4-6:30pm I'm flexible Will you be participating in a working share?Deducts $50.00 from share cost – 5 hrs of work per month Yes No Would you like to make a contribution to the VT Farm Share For Blue Heron Supported Shares? Yes No Enter Contribution Amount* Would you like to make a contribution to Food For Thought produce - Summer lunch program? Yes No Enter Contribution Amount* Please check that you read all the statements below before continuing to payment.* I am sharing in the reward & risk of my CSA membership as described on this brochure. I understand that I must pick up my CSA share on the appropriate dates & times or my share may be donated. I understand that this CSA has an honor system sliding scale and will respect it. I understand that the farm will send important communications to me via email. Processing Fee Price: Total $0.00 Billing Information* Cardholder Name Card Number Expires CVV / CVC Postal Code NameThis field is for validation purposes and should be left unchanged. Δ