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SNAP & Double Up Food Bucks CSA Checkout Form

Splitting a payment? Great! You'll need to fill out this form multiple times. For two people, fill this form out TWICE, once for each person, because we need one agreement for every person paying. Just divide the dollar amounts by two. Three people? Fill it out three times, and divide the numbers by three.

Multi-line address
Which CSA plan would you like to be a part of?
Weekly CSA – $590
Biweekly CSA – $350
Monthly CSA – $250
Please select your preferred CSA pick-up location
PSU Farmers Market – Saturdays | June 7th – October 4th | 8:30 AM – 2:00 PM
Kenton’s Farmers Market – Wednesdays | June 4th – October 1st | 3:00 PM – 7:00 PM
Montavilla Farmers Market – Sundays | June 8th – October 5th | 10:00 AM – 2:00 PM
St. Johns Farmers Market – Saturdays | June 7th – October 4th | 9:00 AM – 2:00 PM
What language would you like used in the emails and agreement?
English
Spanish
Other
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