Eugene/Springfield CSA Signup

EUGENE-SPRINGFIELD 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 address


Pickup Site Locations
(Please check your preferred location)
Tuesday Delivery Sites
 2660 Cheryl St. - North Eugene
 1256 W. Fairview Dr. - Springfield
 1948 Madison St. - Eugene
 Duma Community, 2244 Alder St. - Eugene
Wednesday Delivery Site *
 Eugene Farm Stand - Emmaus Lutheran Church, 1250 W. 18th Ave., Eugene
June - September, 2pm-6pm
* Late Season members will need to choose an alternate site for the last few weeks of delivery. Please indicate in Comments section below.
Friday Delivery Sites
 2345 W. 20th Ave - Eugene
 3514 High St. - Eugene
 158 Rosewood Ave. - Eugene
 936 Taylor St. - Eugene
 2410 Monroe St. - Eugene


CSA SHARES - includes delivery
Standard Season - 19 wks, mid-June - mid-Oct $530 $
Late Season - Additional 5 wks, mid-Oct - Thanksgiving $190 $
Half Share - 10 wks, full share with every other week delivery mid-June-mid-October $279 $
Half Share - 12 wks, full share with every other week delivery mid-June - Thanksgiving $365 $
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 is a 3% fee for 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.