Microgreens CSA
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
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Area Code
Phone Number
Today's Date
*
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Month
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Day
Year
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Starting Month
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Please Select
January
February
March
April
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By typing my name I understand that it is a representation of my signature. I agree to pay the above selected sum for a 4 month share beginning in the above selected month.
*
Microgreens Share
Full Share $160.00
Half Share $100.00
Meat CSA Add-On Share $75.00
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