2020 CSA Sign Up Download our 2020 CSA Brochure 2020 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 - $650Individual Share - $450Pro rated - Summer ResidentSalad Share - $200, Farm Pickup OnlyWhat type of pro-rated share would you like?FullIndividualSummer 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?1 dozen per week $108half dozen per week $54NoDo you want a Certified Organic Chicken Share?$50 deposit, $5.75 per lb5 birds10 birdsNoDo you want a Wally's Place Bread Share?18 weeks $100, THURSDAY DELIVERY ONLYYes - 18 weeksNoDo you want off-farm delivery?*YesNoWhere should your CSA be delivered? UVM Medical Center Northwestern Medical Center, St. Albans St. Alban's City Hall Other Enter Other Delivery Location:Will you be participating in a working share?Deducts $50.00 from share cost – 5 hrs of work per monthYesNoWould you like to make a contribution to the VT Farm Share For Blue Heron Supported Shares?YesNoEnter Contribution Amount Would you like to make a contribution to Food For Thought produce - Summer lunch program?YesNoEnter 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 PhoneThis field is for validation purposes and should be left unchanged.