PNWCSA 2022 Member Farm Registration

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There are several sections to this registration. Please be prepared to:

1. Provide your farm's contact information.
2. Describe your CSA offerings in 2022 (estimates are OK).
3. Report your 2021 sales data.
4. Report your 2021 referrals from PNWCSA (i.e. how many shares did you sell to people who found you through PNWCSA).

This information is critical for the Coalition's programming, including:
- Farm listings in our website directory (www.pnwcsa.org).
- CSA Share Fair
- Brochures and other marketing and outreach material
- SNAP and Double Up Food Bucks payment processing
- Grant applications and reporting

Please take the time to be accurate and thorough. We very much appreciate your time.

PLEASE REMEMBER TO "SUBMIT" YOUR RESPONSES AT THE END. Your responses are not saved automatically.

Email *

Farm name *

Phone number *

Website

Farm address *

Farm City *

Farm State *

Farm zip code *

Do not publicly share my

phone number

farm's full address

Primary contact first name *

Primary contact last name *

Primary contact email *

Primary contact phone number *

Backup first name

Backup last name

Backup email

Backup phone

Mailing street address *

Mailing city *

Mailing State *

Mailing zip code *

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