Pale Blue Dot Farm 2020 CSA Registration

2020 CSA Registration

buying local flowers supports local bees
Welcome to Pale Blue Dot Farm's
2020 Community Supported Agriculture (CSA) Season
We’re so Happy You’re Joining Us!
We just need a little info to bring you into our flower family…
Your Name *

First Name Last Name
Your Email (we'll send all communication here!) *
example@example.com
Your Phone Number *

Area Code Phone Number

Your Billing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Recipient Address (for Gift Subscriptions)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Recipient Email (for Gift Subscriptions)
example@example.com
Special day (birthday, anniversary, new baby, etc.) during the CSA season? Let us know!
Occasion type and Date (even 'mid-August' or similar is just fine!)
2020 Flower CSA subscription options include...
- (ONLY A FEW LEFT) Spring CSA: 3 lush bouquets of seasonal locally-grown flowers & foliage - $90 (standalone) -or- $75 (when added to a Summer CSA subscription)
- (AVAILABLE) Summer CSA: 8 shares of loose seasonal locally-grown flowers & foliage, perfect for making your own bouquets and arrangements - $200
- (AVAILABLE) "Executive" Summer CSA: 8 extra large shares of seasonal locally-grown flowers & foliage, perfect for offices or surrounding yourself with flowers - $500
- (AVAILABLE) Autum CSA: 3 lush bouquets of seasonal locally-grown flowers & foliage - $90 (standalone) -or- $75 (when added to a Summer CSA subscription)
- (AVAILABLE) Winter CSA: 3 shares, 1 each in October (Halloween/Fall), November (Thanksgiving), and December (Wreath) - $150
  
  Small Business Saturday promotion (Nov 30-Dec 8) Summer CSA subscribers also receive a FREE adorable "bees" tote bag, a $45 value, while supplies last!
  "Holiday Surprise" option available for gift orders made before December 15, 2019
  
  2020 Delivery Days are TBD based on CSA Member input/votes. Delivery (limited areas, additional fee may apply) also available - please email Farmer Chris
See www.palebluedotfarm.com/order for more info about shares, options, etc.
Preferred CSA Pickup Day(s) [choose any/all that work for you] *

Monday Tuesday Wednesday Thursday Friday
CSA Day will be determined based on the voting preferences of our CSA Members & Pickup Location Host availability.
Select Your Pickup Area *
Become a Pickup Spot Host!

I want to become a CSA pickup location Host for myself and my friends (private) and/or am open to other nearby subscribers picking up with me -or- I am a business owner who wants to partner as a public Pickup Spot Host (Farmer Chris will connect with you to coordinate)
Thank you for your patronage - we can't wait to bring you the beauty of local flowers! *

Spring CSA Subscription $ 90.00

Quantity

Summer + Spring CSA Subscription $ 275.00

Quantity

Summer CSA Subscription $ 200.00

Quantity

Executive Summer CSA Subscription $ 500.00

Quantity

Summer + Autumn CSA Subscription $ 275.00

Quantity

Autumn CSA Subscription $ 90.00

Quantity

Spring + Summer + Autumn CSA Subscription $ 350.00

Quantity

Winter CSA Subscription $ 150.00

Quantity

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
We're curious! How did you hear about us...?

Internet search leading to palebluedotfarm.com Word of mouth (friend, co-worker, etc.) Farmers Market/Community Event FaceBook Instagram Localharvest.com
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm