Name *

First Name

Last Name

Would you be interested in extending your current CSA membership for 4 additional weeks? *

Same $22 value/week + pick-up location/time (total $88)

Yes

No

Maybe

How interested would you be in a week-by-week CSA order through the winter season? *

Weekly availability email sent to members for order placement// NOT a full season commitment // pay per order

Very Likely // When Can I Sign Up?!

Somewhat // I Need More Information

Unlikely

About how much would you consider purchasing in a week-by-week CSA order? *

1-3 items weekly

1-3 items bi-weekly

4 or more items weekly

4 or more items bi-weekly

Here or there

None // I'm Not Interested

What price range would you be looking to spend in a week-by-week CSA order? *

$10 - $15

$16 - $20

$21 - $30

$30+

Which crops would you likely purchase? *

Quantities and availability may vary, but which of these items would you likely purchase when available?

Kale

Collard Greens

Carrots

Turnips

Cilantro

Sweet Potatoes

Head Lettuce

Salad Mix

Other

Can we email you with more information about these new CSA options? *

Yes, please!

No, thanks.