CSA Form
Name:
Mailing address:
Phone #
Email address
Season?
Four Months - half share
Four Months - full share
Twelve Months - full share
Twelve Months - half share
Season start month
March-4
July-4
November-4
November-1yr
Full payment?
or
Deposit?
Monthly payments of:
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
From
To
PayPal
Check
Type of payment?
Payment Instructions
Mailed Payments
Include a copy of your CSA form with
your check.
PayPal Payments
AFTER you submit your CSA form,
use your browser's Back button to
return to the Sign Up and Payments
page to make your PayPal payment.
1. Click on the Submit button
to send your CSA form to Old
Pine Farm.
2. Print the page that appears
and keep it as your CSA
membership receipt.
