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2025 CSA Mail-In Check Form
Please use the following form to sign up for Paul Mazza's Fruit and Vegetable CSA Share!
* Indicates required question
Email
*
Record my email address with my response
What is Your First Name?
*
Your answer
What is Your Last Name?
*
Your answer
What is Your Phone Number?
*
Do not worry, we will not send you promotional texts or spam calls, we will only use this when necessary.
Your answer
What is Your Address?
*
Please include street address, town and zip code!
Your answer
Company Name (Optional)
Your answer
Which CSA Package?
*
Traditional CSA
CSA Your Way
CSA Your Way Card Pick Up Location
*
For our
Traditional CSA
folks, please select "
traditional
"
If you want to pick up your CSA Your Way card at our
Essex Location
please select "
Essex
"
If you want to pick up your CSA Your Way card at our
Colchester
please select "
Colchester
"
Choose
Essex
Colchester
Traditional
What Size Share?
*
Seedling Share ($260.00)
Garden Basket Share ($410.00)
Farmer's Choice Share ($515.00)
Wheelbarrow Share ($670.00)
How Did You Hear About Us?
*
For our lovely returning customers, please select "
Returning Customer!"
Thanks!
Choose
Returning Customer!
Referred
Road Sign
Flyer!
Instagram
Facebook
Front Porch Forum
None of the Above
For New Customers, Did Someone Refer You?
*
If no one referred you, please select "No". If someone did refer you, please indicate their full name in the "Other" box below!
No
Other:
Next
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