CSA Sign-up

Please fill-out the form below to sign-up for the 2012 Pitchfork & Crow CSA program.

note:
- We will never share your contact information.
- Also, we’ll send you an official invoice upon receipt of this commitment form.

Would you rather print out and mail us the commitment form? You can find it here: http://pitchforkandcrow.files.wordpress.com/2009/12/pac-confirm-2012.pdf

Name(required)

Phone Number(required)

Email(required)

Address(required)

City(required)

Zip Code(required)

Splitting a share? Please enter the contact details for your partner below:

Sharing Partner's Name, Address, Phone, Email

Payment Options(required) Single-payment option: full $620 due at sign-up

Two-payment option: pay $310 at sign-up and $310 by Aug. 1st

Would you prefer we e-mail your invoice or send a hardcopy in the mail?(required) Please e-mail me my invoice.

Please mail a hardcopy of my invoice.

_______________________________________________

I want to participate in the Pitchfork & Crow 2012 CSA season! I am committing to pay $620 in exchange for a weekly share of local, seasonal vegetables for 28 weeks beginning May 22nd and ending November 27th. I understand that Pitchfork & Crow is dedicated to providing 28 weeks of quality vegetables and I recognize that some variables, such as severe weather, are uncontrollable.

Check to Confirm Agreement(required)

Comments or Questions?

We will send you an official invoice upon receipt of the commitment form.

Thank you for joining the Pitchfork & Crow CSA!

Pitchfork & Crow | serving Salem, Ore | farmers@pitchforkandcrow.com | (503) 999-7920 |

pitchfork & crow

CSA Sign-up

Please fill-out the form below to sign-up for the 2012 Pitchfork & Crow CSA program.

Thank you for joining the Pitchfork & Crow CSA!

Follow “pitchfork & crow”

pitchfork & crow

CSA Sign-up

Please fill-out the form below to sign-up for the 2012 Pitchfork & Crow CSA program.

Thank you for joining the Pitchfork & Crow CSA!

Like this:

Follow “pitchfork & crow”