Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What share would you like? *

Small Share (4 items weekly) ($476)

Medium Share (6 items weekly) ($714)

Large Share (8 items weekly) ($952)

Where will you pick up your share? *

Tuesdays at Milkweed Farm in Westminster (from 3:30 to 6:30)

Tuesdays at the Root Social Justice Center in Brattleboro (from 3:30 to 6:30)

Fridays at Milkweed Farm in Westminster (from 3:30 to 6:30)

What is your plan for payment? *

(Totally fine with us).

Option 1 (preferred): I will pay in full today (via check or paypal).

Option 2: I will pay my deposit today (via check or paypal) and then pay the rest by March 1st.

Option 3: I will pay my deposit today (via check or paypal) and then pay the rest in monthly installments from May-October.

Other (please email us if none of these options works for you)

Are you interested in a subsidized share? *

We can let you know when NOFA-VT begins accepting applications for the Farm Share program.

No

Yes

Would you like to hear more about donating to our scholarship fund? *

We'd be happy to contact you with more information about our fund. You'll also find ways to donate to NOFA at the end of your CSA sign-up process.

Yes, be in touch!

No thanks, I'm all set