WINTER REG - DUTCH KILLS

DUTCH KILLS CSA

WINTER SHARE 2018-2019 SIGN-UP FORM

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YOUR INFORMATION

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

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###

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SHARE SELECTION

WINTER VEGETABLE SHARE *

Each box will contain 15+ lbs of the following crops grown on our farm and sourced from other local, organic family farms**. (Actual crops depend on availability): Potatoes, Watermelon Radish, Purple Top Turnips, Parsnips, Rutabaga, Carrots, Beets, Leeks, Winter Squash and Cabbage. If we have a warm December, the first box may include greens from the fields. Exact contents to be determined. INCLUDED IN THE PRICE IS A $5 ADMIN FEE THAT GOES DIRECTLY TO THE DUTCH KILLS CSA GROUP. (Not to the farm)

WINTER APPLE SHARE *

NON-ORGANIC BRIERMERE FARM APPLE SHARE 4 pounds of apples per delivery.

WINTER CIDER SHARE *

NON-ORGANIC BRIERMERE FARM CIDER SHARE

PAYMENT

You will be prompted to select your payment method after submitting this information. Thank you!