EmailMeForm
2019 CSA Registration
First Name
*
Last Name
*
Additional names of people sharing with you
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
*
Additional Email address our weekly newsletter should go to
Phone Number
*
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Renewing Member
*
Yes
No
Pick-up Location (select one)
*
Wednesday 4-7pm; Boulder Farmers Market
Wednesday 4-7pm Cure Organic Farm Store
Thursday 3-6pm; Cure Organic Farm Store
Saturday 9-1pm; Denver Union Station Farmers Market
Vegetable Share Size
Small Sold Out for 2019
Medium $500
Large $700
Fruit Share - Each shares is an average of 3 pounds of seasonal fruit each week.
1 Fruit share - $250
2 Fruit shares - $500
3 fruti shares -$750
Egg Share - SOLD OUT FOR 2019
SOLD OUT FOR 2019
Flower Share - 1 bouquet of flowers per share for 15 weeks
1 Flower Share - $180
2 Flower Shares - $360
Bread Share: Kim & Jake's
1 gluten free, vegan loaf per share
20 weeks Kim & Jake's Bread Share $120
10 weeks Kim & Jake's Bread Share $60
Bread Share: Moxie Bread Company
Baker's Choice 1 loaf of bread & 2 pastries, per share
20 weeks Moxie Bread Share $300
Wine and Cheese Share - 1 bottle of wine and 1/2 pound cheese, every other week (10 weeks)
10 weeks Wine and Cheese Share $300
Coffee Share
Roaster's choice; 1 pound of Conscious Coffee per share, every other week (10 weeks)
Regular $120
Decaf $120
Share the Bounty Donation
$10 donation
$25 donation
$50 donation
$100 donation
Make a donation to offset the cost of a csa share to help a family in need.
How will you be making your payment?
*
$100 deposit - please send me an invoice (do not make payment now)
I will make payment in full now
Anything else you want us to know or have questions about?
Total
$0.00