Fruit Share CSA Signup
This form is to sign up for the Fruit Share CSA for pick up at Coverdale Farm or Red Dog Market.
Name
*
First Name
Last Name
Email Address
*
Spell carefully. If you enter your email address incorrectly, your order may not be received or credited properly
Share Partner's Email Address (if applicable)
Phone Number
*
-
Area Code
Phone Number
Which Pickup Location?
*
Please Select
Coverdale Farm
Red Dog Market
Which CSA Option(s)?
*
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( X )
Alternating Weeks Fruit Share
$
150.00
Weekly Fruit Share
$
290.00
TWO Weekly Fruit Shares
$
580.00
Total
$
0.00
Total Amount
Submit
Should be Empty: