CSA Membership Form

Community Supported Agriculture Program (CSA) Membership Form. 

If you are interested to join our  OUR CSA PROGRAM, please fill up the form below.  You will be contacted shortly.  Some pick-up sites are FULL but others are still open.  For complete pick-up schedule and details, check our CSA Sites.

Please complete the form below

Name *
Name
Mobile preferred. Please enter all 10 digit numbers, no characters and no spaces.
No., Street, Apt #
Please sign me up. I am interested to join:
Please select where you would like to pick-up your Summer Share.
If picking up from another location not listed above, please enter your group name. If you belong to one of our private groups/pick-up site, please specify your share type here. You may also write your any other special notes on this field.
Confirmation email and payment instructions will be sent shortly. Credit card payments must be paid in full with additional processing fee. Paypal invoice request with payment instructions will be sent shortly.
How did you hear about us?
 

By filling up and submitting this form I agree to join the Natural Earth Farms' 2018 CSA Program. I understand the Natural Earth Farms’ CSA Information. I understand that my membership entitles me to a weekly share of produce provided by Natural Earth Farms. The weekly share of Certified Organic produce will be provided for the duration indicated. I agree to the conditions of the program that the farming and crop production has some risks associated with it like weather, disease, and insect problems. I am responsible for picking up my share directly from the assigned location at a designated schedule. I agree to pay the membership fee in cash or check as indicated on the payment terms. I understand that all payments for this CSA Membership is non-refundable.

(You will receive an email shortly with details on how to send your payments. Paypal Invoice will be sent if you opt for credit card payment)