2023 Mushroom CSA Sign Up Form

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NOTE: Your order is complete when you have completed this form AND submitted payment via credit, venmo, or check. Instructions for payment will be provided on the webpage after you submit the form.

Dates:

SUMMER -- Week of June 12 to August 25 (12 weeks)

FALL -- Week of Sept 4 to Nov 20 (12 weeks)

Costs:

Half Pound: $6/$7/$8 per week

Full Pound: $11/$13/$15 per week

We offer tiered pricing for our CSA based on household income, to increase access to our products. Those who can afford to pay more support our ability to provide for others in our community who cannot. We also offer payment plans to work with your budget which just requires a deposit.

Name

Note: this will be the name that goes on the label for your bag

Phone

What season(s) are you signing up for? (check all that apply)

SPRING – Week of April 3 to June 5 (10 weeks)

SUMMER -- Week of June 12 to August 25 (12 weeks)

FALL -- Week of Sept 4 to Nov 20 (12 weeks)

SPRING PICK UP LOCATION

I am NOT doing a Spring Share

At our Farm in Mecklenburg

Main St Market in Trumansburg

Mama Goose in Ithaca

Ecovillage Ithaca (residents only)

Clear selection

SUMMER PICK UP LOCATION

I am NOT doing a Summer Share

At our Farm in Mecklenburg

Main St Market in Trumansburg

Mama Goose in Ithaca

Ecovillage Ithaca (residents only)

Sweetland Farm CSA - Tuesday

Sweetland Farm CSA - Friday

Plowbreak Farm CSA PickUp @ Liquid State Brewing , Thursday

Clear selection

FALL - PICK UP LOCATION

I am NOT doing a Fall Share

At our Farm in Mecklenburg

Main St Market in Trumansburg

Mama Goose in Ithaca

Ecovillage Ithaca (residents only)

Sweetland Farm CSA - Tuesday

Sweetland Farm CSA - Friday

Plowbreak Farm CSA PickUp @ Liquid State Brewing , Thursday

Clear selection

Size of Share?

Half Pound

Pound

Pricing Tier?

Tier 1 ($6 half / $11 pound) - lower income or experiencing unemployment, or other financial challenges

Tier 2 ($7 half / $13 pound) - reflect the true costs of the product

Tier 3 ($8 half / $15 pound) - households with abundant financial resources help support others to access our products

How would you like to pay? ( Links for payment will be provided when you submit this form -)

Credit Card: if using this option SKIP the next question since the total will be calculated for you.

Check

Venmo

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CALCULATE TOTAL: (If paying by credit, Square will do the math for you or you can use the site to calculate but pay using check or venmo)

Weekly Cost Above X Number of Weeks (Spring 10 weeks, Summer 12 weeks, Fall 12 Weeks) -- Sign up for all three seasons and get 10% off your total. You can use the square site to do the math for you even if not paying there! https://wellspring-forest-farm.square.site ........If you need help with the math just email stevegabrielfarmer@gmail.com

Overflow List?

Some weeks we are just overflowing with mushrooms. If you check "Yes" we will email you and offer extras occasionally which you can add to your base share. You will be billed for extras at the end of the season.

Yes please!

No thanks

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Anything else?

Submit

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