Sign Up for the CSA

First Name
Last Name
Phone	Your primary contact number
Email
Type of CSA Share	Full 3/4 Half other: If you'd like more than one of a share type, choose "Other" as well and fill in the text box.
Pick-Up Location	North Scituate (Wednesday) Providence Location Sold Out
payment plan	no I do not require a low income payment plan yes I do require a low income payment plan
Add-ons	Egg Full Share Egg Half Share Mushrooms Tea Full Share Tea Half Share Flowers Half Share Meat Full Share Meat other: If you'd like more than one of an add-on, choose "Other" as well and fill in the text box.
Payment	Check EBT Select whether you intend to pay with check or electronic benefit transfer (EBT)
donation	$25 $50 $100 $150 $200 $500 Would you be interested in making a donation to support Crossroads' kitchen?
Captcha	10 − 9 = ?