CSA Sign Up

Your Name (this name will be used to label your box each week)*
Primary Email*
Additional Email Address
Phone Number
Format: (000) 000-0000.
Are you new to our CSA or a returning member?*

NewReturning
Pick Up Location*

Green Heart Garden - 35245 SE Hauglum Rd Boring, OR 97009, pickup every Tuesday 8am - 8pmLincoln Park Elementary (staff only) - pickup every TuesdayBeaverton - 7625 SW Wilson Ave Beaverton, OR 97008, pickup every other Tuesday 8am - 8pmSE Portland - 4153 SE 67th Ave Portland, OR 97206, pickup every other Tuesday 8am - 8pm
Share Options
Season
Season
Season
Season
Season
Season
All of our CSA seasons are closed for the year. Check back soon for next year's sign ups.
Produce Share
Price
Discount
How much would you like to sponsor?
Add on Egg Share?
Price
Double Up Food Bucks Coverage
Total
Payment Options
Please submit a $150 deposit to reserve your spot within 2 weeks of submitting this form. Full payment due by {paymentDue76}.
Select Payment Method*

Cash or Check - sent to 35245 SE Hauglum Rd Boring, OR 97009Square bank transfer - link sent via emailSNAP with 50% match with Double Up Food Bucks - additional forms sent via emailOther
Mailing Address (for SNAP Payment Forms)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*

Flyer/Poster at pick up locationWord of mouthPacific Northwest CSA CoalitionCSA share fairWeb searchOther
Would you like to receive text reminders for your CSA pickup dates?

YesNo
Brevo Fields
Produce Share - Brevo
Egg Share - Brevo
Payment Method - Brevo
Pick Up Location - Brevo
Chosen Season - Brevo
Season List - Brevo
Today's Date

MonthDayYear
Date
Annual Update Fields
Sold Out Seasons - Produce

All SeasonsSpringSummerFall
Sold Out Seasons - Eggs

All SeasonsSpringSummerFall
Weekly Produce Share Cost
Weekly Egg Share Cost
Spring Start Date

MonthDayYear
Date
Spring End Date

MonthDayYear
Date
Summer Start Date

MonthDayYear
Date
Summer End Date

MonthDayYear
Date
Fall Start Date

MonthDayYear
Date
Fall End Date

MonthDayYear
Date
Spring Share Weeks
Summer Share Weeks
Fall Share Weeks
Full Season Share Weeks
Calculation Fields
Chosen Season Weeks
Discount
Chosen Share Start Date

MonthDayYear
Date
Chosen Share End Date

MonthDayYear
Date
Remaining Share Weeks
Deposit Due

MonthDayYear
Date
Payment Due

MonthDayYear
Date
Discount Signup Cutoff

MonthDayYear
Date
Discount Payment Cutoff

MonthDayYear
Date
Spring Signup Cutoff

MonthDayYear
Date
Summer Signup Cutoff

MonthDayYear
Date
Fall Signup Cutoff

MonthDayYear
Date
First Pickup Date

MonthDayYear
Date
Pickup Frequency
Should be Empty:

Share Options

Payment Options

Brevo Fields

Annual Update Fields

Calculation Fields