EmailMe Form - L.E.A.F Winter CSA Order Form

Name *
First Last
Email *
Phone *
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Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Select L.E.A.F Winter CSA
Select Your CSA Pick Up Time *
Pickup is at The LEAF on Tuesdays from 3pm-5pm
Would you like to make a donation to The LEAF's CSA Giveback program? All proceeds will go toward a CSA membership for a family in need.
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Pickup will be bi-weekly for 15 weeks (resulting in 7 pickups total). Cost is $150.00 for a share. CSA will run Feb 1st - April 26th.

• Box pick up is at The Leaf, 65 Blueberry Lane, Southington Ct

• We will have your produce in a bag and ready for you at the time of pick up.

• Sign up and Payment can be completed online or by check.
I understand that my full payment entitles me to a bi-weekly share of the produce of which I have indicated on this form. I understand that Lewis Educational Agriculture Farm will do its best to supply as much produce as possible and may have to bring in produce from other local farms to help supply product to fulfill my share. I understand that there are risks involved in agriculture such as weather and crop failure. I understand as a member of this CSA that I share in the risk and accept unforeseen outcomes. I understand if I or another person picking up for me is unable to pick up my CSA share it will be forfeited and donated to Southington Social Services or Bread for Life. I understand that failure to pick up my share during the set pick up time without prior notification will result in loss of my share for the week and it will be donated. I understand that my payment is nonrefundable, but is transferable to another person by giving Lewis Educational Agriculture Farm 1 week written notification prior to transfer. *
Yes I understand Leaf's Conditions
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