Food Equity CSA Sign up

2022 Regular Season CSA programs

Primary Adult Member *

First

Last

Email *

This will be used to contact you about changes or updates about your CSA pick-up/delivery and confirmation of delivery for home delivered items.

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

NEW PROGRAMMING FOR 2022 REGULAR SEASON OPTIONS: What CSA program would you like to sign up for? *

All credits must be used by the end of the 2022 regular CSA season in October.

How many bonus credits would you like to add? *

Bonus credits can be added now or later in the season. Families larger than 2 adults that also eat meat or folks that want to give themselves a higher meat budget may wish to add credits to their account.

Please confirm that you understand each new program detail. (click all of the boxes) *

I invest a specific amount into the farm in return for credits that I will spend on the online FarmMatch Store
Orders are all placed through FarmMatch.com. I will respond to the action request to join farmmatch.
When I order I must spend a minimum of $40 and cannot go over $250
If I order meat, I cannot order more than $200 at a time
I have access to all items on the store; veggies, meat, cheese, eggs, bread, and misc. items
I must use all of my credits during this season and lose them if I don't (June - October)

Delivery/Pick-up: *

If your preferred location is marked as SOLD OUT you can email us and request to be put on the waiting list for it, but we ask you to choose an alternative location at this time. Thank you.

I understand there is a fixed delivery fee of $160 for home delivery *

What address will your food be delivered to? *

Address Line 1

Address Line 2

City

State

Zip Code

Location specific delivery details (location of your cooler/box, directions about how to enter your building, etc.) Remember driver must be able to put food into a container that you leave out. Driver cannot enter your home.

Optional donation to our food equity fund: Donations will go toward reducing the costs of our food for our customers expressing a financial need. *

PAYMENT: We will invoice you. How do you plan to pay? *

Pay my $150 deposit and then set up automated monthly payments (3.5% fee)
Pay the full amount with my credit/debit card (3.5% fee)
Send a check for the full amount
Send in the $150 deposit check and 5 additional post dated checks.

I have read and agree to the LotfotL terms and conditions (view link below) *

Yes

How did you hear about this program? *

Total Amount Due

$0.00

OFFICE USE ONLY:

FOR OFFICE USE ONLY: DO NOT FILL THIS IN

FRIDAY HOME DELIVERY
SATURDAY LOTFOTL
SATURDAY SHOREWOOD
SATURDAY GARDEN DISTRICT

ADMIN ONLY: DO NOT WRITE IN THIS SPACE

Food Equity CSA Sign up

2022 Regular Season CSA programs

OFFICE USE ONLY:

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