2019 CSA New Member Application

Red Wiggler Community Farm would like to thank you for your interest in our CSA program, and your desire to join us for the 2019 growing season and the farm's 24th year! By becoming a member, you will not only be receiving fresh organic vegetables, you will be an essential part of our nonprofit mission – to be a sustainable farm where people with and without developmental disabilities come together to work, learn and grow healthy food.

Before completing your application, please take a moment to read over our 2019 CSA Member Handbook, and Frequently Asked Questions, and familiarize yourself with our distribution philosophy. Don't hesitate to contact us with further questions. Prefer to mail in your application and check? Print an application: 2019 CSA New Member Application

Note: Our spring CSA session is currently full. Summer and fall spots are still available.

Join our CSA

Member Information

Amount Due Later

If your preferred day is unavailable, please contact csa@redwiggler.org

CSA Pickup Preference *

Wednesday 2-5pm

Saturday 9am-12pm

First Name

Last Name

Address Line 1

Line 2

City

Country

State

Postal Code

Phone

CSA Share Members

Are you sharing your CSA with one or more partners? If so, please enter the first name, last name, email address, mailing address and phone number of each share partner in the above space. Please also include information on additional household members that would like to receive our email newsletters (ie spouses, children etc).

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Handbook

Have you read the 2019 CSA Member Handbook? *

Yes