2021 CSA Sign Up – Blue Heron Farm VT

Name*

First Last

Email*

Phone

Address

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

What type of CSA share would you like?*

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-share

What 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, $5.75 per lb

5 birds
10 birds
No

Do you want a Wally's Place Bread Share?

18 weeks $100, 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, $216

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 - TBA
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: $10.00

Total

$0.00

Email

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