2020 Sliding Scale CSA Share Application

PHILLIES BRIDGE FARM PROJECT 2020 SLIDING SCALE CSA SHARE APPLICATION
Weekly distributions at Phillies Bridge Farm will begin in early June 2020 and continue for approximately 24 weeks.

Our Sliding Scale CSA Share program is a part of our Food Justice Mission, which is the belief that all people have a right to healthy and nutritious food.

Please fill in the fields below to register for Phillies Bridge Farm's 2020 Sliding Scale CSA Share program. We have limited funding to support this program and will accept applicants on a first-come, first-served basis.

For more information about our Community Supported Agriculture program, please visit the CSA and Frequently Asked Questions pages.

*required
Contact Information
First Name*
Last Name*
Other First Name
Other Last Name
Mailing Address*
City*
State*
ZIP*
E-mail 1*
E-mail 2
Phone 1*
Phone 2
Additional Information
Have you ever received a subsidized farm share before?*

YesNo
If yes, what year(s) and what share size?*
How Much Can You Afford to Pay?

We have a limited amount of funds available to help cover these costs for people who would like to participate in the CSA but cannot afford the full price of the share.

The cost of a whole share without sponsorship is $750 for the Full Season ($30 per week). The cost of a half share without sponsorship is $475 for the Full Season ($19 per week).

*A special note regarding COVID-19* We are committed to doing all we can to ensure access to fresh healthy food for all people. Because the current crisis has generated significantly more demand than in the past we are seeking ways to help as many people as possible. At this time, we are hoping to provide subsidies of up to 50% for families that are in need, in order to disburse our limited funds to a greater population. Please let us know if you have any exceptional circumstances that would limit your ability to contribute 50%. We will do all that we can to accommodate everyone.
I would like to pay in advance for my entire share this season as indicated below.
Indicate the total advance payment here:
OR
I would like to make weekly payments as indicated below.
Indicate your weekly payments here:
Farm Share Selection
Choose one of the following options:*

Big ShareSmall Share
Shareholder fee includes your $25 annual Membership Fee.
Distribution Day and Time
Day and Time*
Please note: Shares may only be collected during designated distribution hours on your registered day. Shares cannot be held outside distribution hours. You may send another person to collect your share if you cannot make it to distribution. Leftover produce will be donated to local food pantries or other service organizations, or used in the farm's education programs. U-pick items may be harvested during daytime hours of CSA pick-up days.
Are you able to pick up your share every week? (You can have a friend pick up your share if you are unavailable for a short period of time) *

YesNo
Payment Options
FYI: Because we are a 501(c)(3) PayPal will show your payment as a donation.
Would you like to pay for your share with food stamps/SNAP?*

YesNo
Total:
Method:
Total:*

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USDThank You!
PLEASE READ CAREFULLY: To pay by check, click on "Proceed to Checkout" below.

Please make your check payable to "Phillies Bridge Farm Project" with the memo indicating your share selection.

Mail to:

Phillies Bridge Farm Project

45 Phillies Bridge Rd

New Paltz, NY 12561

Clicking below will submit your pay-by-check reservation. You will receive e-mail confirmation of your reservation within 3 business days.
Please click on "Proceed to Checkout" below to be redirected to PayPal to complete the transaction. (A PayPal account is not required to pay by credit or debit card.)
Please tell us how you found out about us:*

Friend/RelativeChild’s SchoolWebsiteSocial MediaPlace of WorshipCommunity OrganizationOther
Terms and Conditions
Commitment Agreement: The Shareholders of the Phillies Bridge Farm Project CSA collectively assume the risks and reap the rewards of community farming. We can make no guarantee of exact amounts or availability of particular items from week to week or over the course of the growing season. The farm cannot offer refunds, should you be unable to continue through the season.
Consent to Terms*

I have read and agree to the above Terms and Conditions.
Should be Empty:

PHILLIES BRIDGE FARM PROJECT 2020 SLIDING SCALE CSA SHARE APPLICATION

Farm Share Selection