EmailMe Form - 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 Country / Region

Email *

Additional Email address our weekly newsletter should go to

Phone Number *

### - ### - ####

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?