CSA Registration Registration is now open for our 2019 CSA. Membership:Type of Membership*NewRenewingName* First Last Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Co-Member Info:Member Name:PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment Options Please choose whether you'd like to pay for the 20 week season all at once, or in two installments. Members are billed in August for their second installment.CSA Membership - $425*Pay in Full: $425Pay in Two $212.50 Installments (we will send a reminder in August for the 2nd installment)Every year we solicit member donations to subsidize several member shares. We call this our LIFE fund (Low Income Fund Edible)Life Fund Donation$25$50$100$250Other AmountOther Amount: Bulk DiscountsWhen available, we offer bulk quantities of crops for purchase to our CSA members. Please check the following boxes if you are interested in being contacted about these crops. Basil Tomatoes Shallots Carrots Potatoes Beets Onions Delicata Squash Box Pickup LocationChoose a location where you'd like to pick up your box:*Westside Near Fairgrounds: 895 W 17th (4 – 8 PM)Thursday Market: Amazon Park (11 AM – 4 PM)Southside near U of O: 2268 Potter (4 – 8 PM)Westside near Chambers: 2150 Garfield (4 – 8 PM)On Farm: Boxes available Wednesday afternoon through SundayPayment MethodOnlineMail a CheckI am requesting Life Fund assistance The Life Fund program provides an affordable solution to low income individuals or those who cannot otherwise meet the financial requirements of the CSA program. To apply for Life Fund assistance, please fill out the information below. Life Fund Explanatory StatementPlease provide us with some background as to your financial situation Total Amount Due: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
