2024 Fall CSA Sign-Up

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1Your Info > 2Share Selection > 3Your Most Frequent Questions > 4Payment Options > 5Payment
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Primary Member Contact Primary Member Contact First Last
Primary Contact's Email Address
Primary Contact's Phone Number Primary Contact's Phone Number - ### - ### ####
What town do you live in?
Would you like to receive email reminders at noon on pick-up days?

Would you like to receive email reminders at noon on pick-up days? Yes No
Is there someone else who should receive weekly newsletters? A spouse, partner or friend who is sharing the membership with you?

Is there someone else who should receive weekly newsletters? A spouse, partner or friend who is sharing the membership with you? Yes No
Additional Contact's Name Additional Contact's Name First Last
Additional Contact's email address
Should this person receive our Wednesday noon email pick-up reminders?

Should this person receive our Wednesday noon email pick-up reminders? Yes No
How did you hear about us? Check all that apply.

How did you hear about us? Check all that apply. Past Member of Muddy Boots. Received an email about it. Received a Postcard. Valley Reporter ad. Saw a Banner/Sign at the Farm. Saw a poster. Facebook. Front Porch Forum. A friend. Other Other
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