Portland Area CSA Signup

PORTLAND 2019 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
(Please check your preferred location)
Wednesday Delivery Sites
 NE Portland — 4714 NE 18th Ave. (between NE Going and NE Wygant St.)
 NE Portland — 4307 NE Brazee St. (near Sandy Blvd)
 SE Portland — 7109 SE 31st Ave. (near Reed College)
 SE Portland — 3736 SE 33rd Ave. (between SE Powell & SE Francis St.)
Saturday Delivery Sites
 NE Portland — Hollywood Farmers Market, 44th & Hancock
 SW Portland — PSU Farmers Market, SW Harrison & Montgomery
Sunday Delivery Site
 NE Portland — King Farmers Market, NE 7th & Wygant, between NE Alberta & Prescott
Late Season Pickup Site Locations
(Please check your preferred location)
All Late Season shares will be available for pick up at our weekend Farmers Markets only. Please support us in our decision to consolidate deliveries in our efforts to reduce our environmental impact.
Late Season Delivery Sites
 NE Portland — Saturday ~ Hollywood Farmers Market, 44th & Hancock
 SW Portland — Saturday ~ PSU Farmers Market, SW Harrison & Montgomery
 NE Portland — Sunday ~ King Farmers Market, NE 7th & Wygant, between NE Alberta & Prescott
CSA SHARES - includes delivery
Standard Season - 19 wks, mid-June - mid-Oct $575 $
Late Season - Additional 5 wks, mid-Oct - Thanksgiving
 $200 $
Half Share, 10 wks, full share, every other week delivery mid-June - mid-Oct $307 $
Half Share, 12 wks, full share, every other week delivery, mid-June - Thanksgiving $397 $
Donation to Financial Assistance Fund $
Donation to Education Program $
Returning Member Discount or Credit
$10 returning member discount for Full Share
$5 returning member discount for Half Share
with full payment by May 1st		 — $
Total Due for Season * $

Payment Options
Payment in FULL ONLY 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.
A 3% transaction fee will be added to your total at the secure shopping cart.
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 for 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. If you receive SNAP benefits, and would like to use them to make monthly payments for your CSA Share this season, please fill out the member form and tell us you would like to use your SNAP benefits in the Comments section. We will then contact you to set up the payments.

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 2019 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.