2019 CSA Sign-up Form

The 2019 season begins May 8!

Name(required)

Email(required)

Cell phone number(required)

Address(required)

Pick-up Option(required)

Delivery Option Yes. Please deliver my share to my house on days I do not pick up by the close of the pick up window. I understand that I will be billed $5 per delivery. Available for Lynchburg pickup only.

No. Do not deliver my share. I understand that if I do not pick up by the end of the pick up window I forfeit my share for the week.

Yes. Deliver my share every week. I agree to pay $80 for this service for the whole season.

N/A (All members picking up in Forest).

Delivery address and where you would like share to be left (i.e. side porch, front door...)

Vegetable Share(required)

Bread Share(required)

Restoration Acres Chicken Share

Restoration Acres Egg Share

Payment Method(required) Cash

Check

Online via PayPal

Payment Plan

How did you hear about our CSA?

Share a Share Contribution Amount (optional, please see main CSA page for details)

Fill out this form to sign-up for our 2019 CSA! When we get your submission we will send you an invoice. You will be billed separately for items from Restoration Acres. If you have questions about any of the options above, please see in-depth descriptions of options, our CSA general info page, or CSA FAQs.

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The 2019 season begins May 8!

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