2024 FVRx Payment Sign Up
Thank you for signing up to purchase Long Hearing produce this year! We are so excited to feed you and the rest of our community in 2024.

The information that you provide below will help us to make sure we are following all guidelines for you to use your FVRx bucks to purchase from us. We are new to this process and will appreciate your patience and feedback as we build this new program together!

After we have received this form from you you will receive a follow up email from one of our team members with further information and instructions about how we will process your payments.   

You can learn more about FVRx at www.unitedgeneral.org/fvrx

Connectez-vous à Google pour enregistrer votre progression. En savoir plus
Adresse e-mail *
Name: *
Phone Number *
Pick Up Location *
Obligatoire
20-Week Farmshare 
Please select the price you would like to pay for your share of produce. Starting June 26th and ending November 6th. Remember all Farmshares are the same size and you can choose the sliding scale option that works best for you:
Effacer la sélection
Parkie Package
A 15 week farmshare designed for seasonal workers at North Cascades National Park. Starting June 19th and ending September 25th. 
Effacer la sélection
Add on - Spring Farmshare 
5 weeks of produce starting May 15th and ending June 12th. 4-6 items weekly. 

PLEASE NOTE that the Spring Share is only delivered to Concrete, Darrington and Rockport! Please select the option that fits the drop off site for you below. You can select a different drop off site for a full 20-week farmshare in the "Pick Up Location" section above. 
Effacer la sélection
Add on - Salad Bag
Half pound bag of rotating variety of baby salad greens delivered weekly.
Effacer la sélection
Add on - Tomatoes
A pint of cherry tomatoes or a pound of heirloom tomatoes delivered weekly with Farmshare for 5 weeks
Effacer la sélection
Payment Agreements *
Obligatoire
Please note any other preferences or things you would like us to know. 
Returning Customer Discount Code 
Once you have submitted this form you will receive a confirmation email from a Long Hearing Farm Team member with follow up information about how we will process your payments. 

Farmshare agreement: As a member of Long Hearing Farmshare/CSA I understand that: (1) My farmshare will be delivered on one delivery day of the week. I take full responsibility for making sure my share is promptly picked up, and if I cannot tend to it myself I will arrange for someone else to pick it up or notify the Long Hearing Farm team, no later than 24 hours before deliveries, to donate my share to another family or emergency food program (2) I will regularly receive a diversity of seasonal vegetables and Long Hearing Farm does not have the capacity to accommodate special requests. (3) There is no option for extended storage of shares or additional delivery times. (4) When wax boxes are being used for deliveries I will return my box as promptly as possible (ideally the following week). (5) I will pay my balance due on time 

Thank you for your commitment to the farm and its success!  You will receive an email from a Long Hearing Farm team member confirming we have set you up with our FVRx payment system and further information and instructions about how we will process payments.
*
Obligatoire
Envoyer
Effacer le formulaire
N'envoyez jamais de mots de passe via Google Forms.
Ce formulaire a été créé dans Long Hearing Farm. Signaler un cas d'utilisation abusive