Pennypack Farm & Education Center - Application for financial support in our summer 2023 CSA
Hello, and thank you for taking the time to inquire about our veggie program and financial support. We look forward to being in touch with you, but first need to gather some information. Please fill out the questionnaire below and we will get back to you soon!
Sign in to Google to save your progress. Learn more
Full Name *
Email *
Address *
Cell phone (optional)
How many people are in your household? *
Do you have any school-aged children or adults over the age of 60 in your household?
The prices for our CSA are listed here: https://pennypackfarm.org/csa-membership/summer-csa/

What type of financial support do you need for your CSA share (full or partial)? And, what amount would you be able to pay for a weekly CSA share?
Can you describe your financial hardship, and why you are asking for support in this program? *
What would it mean to you be to be able to participate in Pennypack Farm's summer vegetable CSA? *
The summer CSA is a weekly pickup at our Horsham farm to pick up your vegetables, either on Monday, Wednesday, or Friday between 2:30 pm - 7:30 pm. Can you commit to coming to our farm on a weekly basis? (You can also send someone on your behalf) *
Anything else you'd like us to know? Or, questions you have?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pennypack Farm Education Center. Report Abuse