2020 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 pro-rated share would you like?

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:

Do you want a Certified Organic Egg Share?

Do you want a Certified Organic Chicken Share?

$50 deposit, $5.75 per lb

Do you want a Wally's Place Bread Share?

18 weeks $100, THURSDAY DELIVERY ONLY

Do you want off-farm delivery?*

Where should your CSA be delivered?

Enter Other Delivery Location:

Will you be participating in a working share?

Deducts $50.00 from share cost – 5 hrs of work per month

Would you like to make a contribution to the VT Farm Share For Blue Heron Supported Shares?

Enter Contribution Amount

Would you like to make a contribution to Food For Thought produce - Summer lunch program?

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

Phone

This field is for validation purposes and should be left unchanged.