CSA Sign up

Green Fire Farm 2021 CSA Sign-up Form

What is the primary member's name (person who will usually pick up the Harvest Box)? *

What is the primary member's email address? *

What is the primary member's cell phone number? *

Would you like to subscribe our newsletter? *

• Yes
• No

Secondary member's name, if more than one person would like to receive newsletters (optional)

Secondary member's email address (optional)

What is your address? *

How would you like to receive your Harvest Box? *

• Pick up at Victoria area depot
• Pick up at Green Fire Farm
• Pick up at Cedar Farmers' Market
• Home delivery for an extra cost (if possible)

I understand that my membership in the 2021 Green Fire Farm CSA will not be secured until I have paid in full or made a deposit within 24 hours of receiving a confirmation email from Green Fire Farm. *

• Yes, I understand.

I understand that there are weather and other conditions beyond the control of the farmers, which means that crops may fail and the timing, amount, quality, and diversity of the harvest may be affected. *

• Yes, I understand.

I am responsible for the pick up of my Harvest Box during the stated hours at the stated location. I understand that after that time the Harvest Box may not be available. *

• Yes, I understand.

I understand that if I am going to be away for 1 week during the season and I let Green Fire Farm know at least 1 week in advance, I can ask to receive an equivalent value of produce at the end of the season. This is only possible for 1 week. *

• Yes, I understand.

I understand that there may be important CSA updates in the newsletter and it is my responsibility to read it to stay informed. *

• Yes, I understand.

Submit