Oakland CSA Dairy Share Registration Form

Oakland CSA Dairy Share Registration Form

2505 Oakland Rd, Farnham, VA 22460
Thank you for your interest in our dairy share.

This is NOT a contract.

Once you have filled out this form, a contract will be emailed to the email address you provide.

Bring the completed contract with you, along with your payment, to your first pick up day at the farm.

All payments must be made in CASH or CHECK.

If you have any questions, please reach out to us via our email (OaklandCSA@gmail.com) or through Facebook.
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Share Options

Single Share ($50 initial buy in, $25/month herd maintenance fee, 1/2 gallon milk per week)Double Share ($100 initial buy in, $50/month herd maintenance fee, 1 gallon milk per week)
Preferred Pick Up Day

Wednesday (9 to Noon)Saturday (9 to Noon)
If you were referred to us by a friend, please provide their name below. (Members who refer friends are entitled to a gift from the farm upon the successful enrollment of their referral.)
Should be Empty: