Coast Area CSA Signup

COAST 2017 MEMBERSHIP FORM
Yes, I would like to share in the healthy harvest!
* Required

E-mail Address: *

Name (primary contact) *

Address *

City * Zip *

Home Phone * Other Phone

Will you split your share with another family? Please include their information:
Name (primary contact)

Address

City Zip

Home Phone Other Phone

Email address2


Pickup Site Locations
All deliveries on Friday
FLORENCE
Roby's Furniture, 1870 U.S. 101 - Florence
REEDSPORT
212 Schofield Drive. - Reedsport
COOS BAY/NORTH BEND
1198 Winsor Ave. - North Bend
CSA SHARES - includes delivery
Standard Season - 19 weeks, mid-Jun - mid-Oct
Late Season - Additional 5 weeks, mid-Oct - Thanksgiving
FLORENCE
Standard Season - Florence $545 $
Late Season - Florence $195 $
Half Share, 10 weeks, full share every other week delivery - Florence $287 $
Half Share, 12 weeks, full share every other week delivery - Florence $375 $
REEDSPORT
Standard Season - Reedsport $555 $
Late Season - Reedsport $200 $
Half Share, 10 weeks, full share every other week delivery - Reedsport $292 $
Half Share, 12 weeks, full share every other week delivery-Reedsport $383 $
COOS BAY/NORTH BEND
Standard Season - Coos Bay/North Bend $565 $
Late Season - Coos Bay/North Bend $205 $
Half Share, 10 weeks, full share every other week delivery-Coos Bay/North Bend $297 $
Half Share, 12 weeks, full share every other week delivery-Coos Bay/North Bend $391 $
Donation to Financial Assistance Fund $
Donation to Education Program $
Returning Member Discount or Credit $
Total Due for Season * $

Payment Options
Payment in full online by debit or credit card using the secure shopping cart.
You will be routed to a page to select the shopping cart option when you submit this form.
Payment in full upon signup — pay by check or call farm with credit/debit card information
1/2 payment at signup and 1/2 payment August 15th*
5 monthly payments on the first of the month from June thru October*

We accept VISA and MasterCard~There will be a 3% fee on all debit/credit card transactions.
* The 1/2 payment and 5 monthly payment options must be set up with an automatic recurring payment schedule.
You can arrange payments with the farm, using VISA or MasterCard; with your bank, using automatic check payments; or by sending post-dated checks to the farm to be deposited on agreed upon dates.
We are approved to accept Food Stamps (SNAP) to pay for CSA Shares, and if you are a new member this year, you may qualify for the SNAP "Double Up Food Bucks" program, offered by the Portland Area CSA Coalition. Contact the farm for more information, or visit this website…..http://www.portlandcsa.org/foodbucks/
Contact the farm for more information on using SNAP to pay for your CSA Share.
If you are interested in our financial assistance options, please contact Linda at folks@wintergreenfarm.com or by phone at (541) 935-1920.

COMMENTS

Please send a copy of our print brochure to:

How did you find out about Winter Green Farm?

In our continuing effort toward sustainability, most communication will be offered through our Weekly Farm Blog. Farm news, vegetable storage and cleaning tips, bulk offerings, and delicious recipes will be shared each week. Please contact the farm to make special arrangements if you do not have online access.

To join us for the 2017 season
When you have entered all the information, click the Submit button below. If you need to delete the information in the form and start over, click the Reset button.