2023 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 2023 growing season – the farm's 27th year! By becoming a member, you will not only receive fresh organic vegetables, flowers and herbs, but you will also 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 2023 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: 2023 CSA New Member Application

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 *

Email *

Phone *

CSA Share Members

Are you sharing your CSA with one or more partners outside your household? 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).

Other Newsletter Recipents?

Would you like other members of your household to receive our weekly CSA newsletter? If so, please list their name, email address and relationship (optional) so we can connect them to your share and sign them up for newsletters.

Credit Card

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 2023 CSA Member Handbook? *

Yes

I understand what the CSA fee includes. *

Yes

I understand that my CSA fee includes not only organic vegetables, but also PYO garden access and compost program participation.