Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What share would you like? *

Free Choice Small Share (4 items weekly for $462)

Free Choice Medium Share (6 items weekly for $693)

Free Choice Large Share (8 items weekly for $924)

Where will you pick up your share? *

Tuesdays at Milkweed Farm in Westminster (from 3:30 to 6:30)

(FULL) Tuesdays at the Root Social Justice Center in Brattleboro (from 3:30 to 6:30)

Fridays at Milkweed Farm in Westminster (from 3:30 to 6:30)

Do you need to work out a payment plan? *

(Totally cool with us!)

No - I will pay in full by March 1st.

Yes - I would like to pay my deposit and then pay the rest in weekly installments from May-October.

Yes - I would like to pay another way (we'll be in touch if you choose this option).

Are you interested in receiving a financial scholarship for your CSA share?

Would you like to hear more about donating to our scholarship fund? *

We'd be happy to contact you with more information about our fund. You'll also find ways to donate to NOFA at the end of your CSA sign-up process.

Yes, be in touch!

No thanks, I'm all set