East Brook Community Farm 2021 CSA sign-up (APPROACHING FULL!)

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**NOTE: OUR CSA IS APPROACHING FULL!** We still encourage anyone interested in a share to fill out this form, but doing so does not guarantee you a share.

We will contact folks that we are able to offer CSA shares to. We appreciate your patience! If we do not contact you initially, we still may be able to offer you a share at a later time. If you have any questions, are looking for share options not listed on this form, or run into any issues while signing up, please email us at eastbrookcommunityfarm@ gmail.com!

Email *

Shareholder Name *

Address *

Phone Number *

Have you been a member of a CSA before? *

Yes

If you're signing up with us for the first time, how did you find out about us?

How many members in your family or group? *

Approximately how many people will be eating your share?

How much will you pay for your share on our sliding scale? *

PLEASE SEE eastbrookfarm.com/csa FOR MORE INFORMATION ON OUR SLIDING SCALE. We ask CSA members with the means to pay at or above market rate so that lower-income CSA members can receive their share at a price that is more within their budget. If you are unsure what to pay or do not wish to engage in the sliding scale, we invite you to pay the market rate. IF YOU HAVE ANY QUESTIONS ABOUT OUR SLIDING SCALE or if $20/wk is still not accessible to you, please email us at eastbrookcommunityfarm@gmail.com or call us at 607-865-5529

$20/week (-30%)

$25/week (-15%)

$30/week (market rate; pick this if you are unsure)

$35/week (+15%)

$40/week (+30%)

Choose your Share Pick up Location: *

If you are unable to pick your share up at any of these locations or would like to vary your pickup location throughout the season, please send us an email (eastbrookcommunityfarm@gmail.com) or give us a call (607-865-5529)

East Brook Community Farm (2253 Co Hwy 22, Walton; Fridays 12pm - dark; 8-12 pre-boxed items and PYO flowers and herbs when available)

Franklin Farmers Market(15 Institute St, Franklin; Sundays 10am-2pm; June-October; Pick 10 items and an herb)

Walton Farmers Market (Veteran's Plaza, Walton; Fridays 10am-2pm; July-September; Pick 10 items and an herb)

Wild Common Wine (49 Main St, Andes; day of the week TBA; 8-12 pre-boxed items)

Share Type *

Don't see an option that works for you? Select "other" and tell us your thoughts. We'll see what we can do!

Full Season (24 weeks, Jun. 4th - Nov. 12th, 2021; 12 weeks if every other week; ONLY AVAILABLE AT FARM OR ANDES)

Summer Share (9 weeks, Jul. and Aug. 2021; 4 weeks if e.o.w.)

Bounty Share (8 weeks, Aug. and Sep. 2021; 4 weeks if e.o.w.)

Franklin Market Share (20 Weeks, May 30th - Oct10th, 2021; 10 weeks if e.o.w.)

Walton Market Share (13 Weeks, Jul. 2nd - Sep. 24th, 2021; 6 weeks if e.o.w.)

Other:

Would you like to pick up your share weekly, or every other week? *

If you don't need a full share of veggies each week, you can choose an every other week share - we'll pack you a share on alternating weeks, and only charge you for those weeks!

Weekly

Every other week

Would you like to discuss:

Check any of the below and we will contact you!

Work-trade opportunities

SNAP payments

Donations to the farm

Other:

Total amount you will pay for your share *

To calculate your final amount, please multiply the total number of weeks of your share by the weekly sliding-scale price you selected. For example, for an every other week full season share at market rate, this is 12 weeks x $30/week = $360

Payment Options *

We accept check, cash, and SNAP payments. Checks should be made out to "East Brook Community Farm". Payments can be mailed to (or dropped off at, with prior notice): East Brook Community Farm, 2253 County Highway 22, Walton NY 13856.

Full payment today - our preference if you are able

$100 deposit now, with full balance paid by June 1st

$100 deposit now, with installments paid monthly

SNAP - we will be in touch about how to make payments

Other:

Required

Please include any questions or comments here,

Or feel free to give us a call or send us an email! (607) 865-5529 // eastbrookcommunityfarm@gmail.com.

MEMBERSHIP AGREEMENT *

I understand that submitting this signup form does not guarantee me a share at the price I have listed until I have received confirmation from the farm. By becoming a CSA member of East Brook Community Farm, I understand I am a stakeholder in and supporter of the 2021 growing season. In exchange for my contribution, I know that the farmers of EBCF promise to do their darnedest to provide me with an abundance of nutritious, sustainably-grown produce. I understand there are risks in agriculture, and that, while EBCF's farmers are experienced and responsible, crop yields are not guaranteed due to weather events and the like. I understand that I’m encouraged to participate beyond financial contribution to the farm, in such ways as: volunteering time/skills, attending workshops / potlucks / community gatherings. As a stakeholder in the farm, I recognize my role in the long-term viability of the CSA. I have read and understand the contents of http://eastbrookfarm.com/csa/.

I agree

Required

A copy of your responses will be emailed to the address you provided.

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