Vacation Box Request (Prout's Jollyview CSA)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Vacation Box Request (Prout's Jollyview CSA)

We are one of the few CSAs that will offer you a vacation option. Please limit the use of this policy to a maximum of 2 times. If you will be away and will miss a delivery day, please request a vacation box no later than Memorial Day. For any changes after this date, it will be your responsibility to have someone pick up your box for you, or it will be donated.

Sign in to Google to save your progress. Learn more

Email *

First and Last Name: *

Pick Up Location: *

skip May 30 (this is a possible date! The start of the CSA has not been determined as of yet)

I would like 2 boxes the following week - June 6

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip June 6

I would like 2 boxes the previous week - May 30

I would like 2 boxes the following week - June 13

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip June 13

I would like 2 boxes the previous week - June 6

I would like 2 boxes the following week - June 20

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip June 20

I would like 2 boxes the previous week - June 13

I would like 2 boxes the following week - June 27

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip June 27

I would like 2 boxes the previous week - June 20

I would like 2 boxes the following week - July 3 (*on Wed due to the holiday)

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip July 3 (*This will be a Wednesday delivery due to the Holiday)

I would like 2 boxes the previous week - June 27

I would like 2 boxes the following week - July 11

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip July 11

I would like 2 boxes the previous week - July 3

I would like 2 boxes the following week - July 18

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip July 18

I would like 2 boxes the previous week - July 11

I would like 2 boxes the following week - July 25

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip July 25

I would like 2 boxes the previous week - July 18

I would like 2 boxes the following week - Aug 1

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip August 1

I would like 2 boxes the previous week - July 25

I would like 2 boxes the following week - Aug 8

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip August 8

I would like 2 boxes the previous week - Aug 1

I would like 2 boxes the following week - Aug 15

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip August 15

I would like 2 boxes the previous week - Aug 8

I would like 2 boxes the following week - Aug 22

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip August 22

I would like 2 boxes the previous week - Aug 15

I would like 2 boxes the following week - Aug 29

I would like to drive to the farm and pick out my own produce, up to the cost of this box

I would like my box donated to a local food bank

skip August 29

I would like 2 boxes the previous week - Aug 22

I would like 2 boxes the following week - Sept 5

I would like to drive to the farm and pick out my own produce, up to the cost of this box (note: the farm stand closes for the season after Labor Day)

I would like my box donated to a local food bank

skip September 5 (possible last day of the CSA. This will be determined once a start date has been decided.)

I would like 2 boxes the previous week - Aug 29

I would like 2 boxes the following week - Sept 12 (tentative last day of the CSA)

I would like to drive to the farm and pick out my own produce, up to the cost of this box (note: the farm stand closes for the season after Labor Day)

I would like my box donated to a local food bank

skip September 12 (tentative last day of the CSA. This will be determined once a start date has been decided)

I would like 2 boxes the previous week - Sept 5

I would like my box donated to a local food bank

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

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy