"*" indicates required fields Member InformationPrimary Member Name*This name will be used on our CSA member sign in form at each CSA pick-up. First Last Secondary Member NameIf more than one person per household would like to receive information about the farm, schedule changes, Fresh from the Farm, etc, add their name here. First Last Primary Member Email*Email is our primary way of communicating. One valid email address is required. Secondary Member Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How many people over the age of 5 will be eating your CSA share?* 1 2 3 4 5 6 or more How did you hear about us? Word of Mouth Facebook Instagram Latest In L’Arche/Fresh from the Farm Return CSA Member Other Please describe: Membership AgreementsI understand and agree that a share entitles me to the bounty of the harvest. I also understand and agree to share in the risk of farming. I know that on occasion a crop may fail due to conditions that are beyond the control of the L'Arche farmers.* Yes, I agree. I understand that if I cannot make my scheduled CSA pick up, I can request a pick up day change. I understand that I need to make the request 24 hours in advance of the day I'd like to pick up OR 24 hours before my assigned pick up day (whichever comes first). I understand that if I do not make the request with this advanced notice, my farmers will be unable to accommodate a CSA pick up day change.* Yes, I understand. Share InformationShare Size* Full Share – $240 Half Share – $128 Pickup Time* WED 12pm – 4pm (at Farm) FRI 12pm – 4pm (at Farm) Payment InformationPayment Method* Pay in full by credit card now. Pay in full by check. I understand that my CSA Membership will not be active until I submit payment (within 2 weeks of completing this form, if I am paying by check) and have received confirmation from L'Arche Farm & Gardens.* Yes, I understand. Mail your check to L’Arche Tahoma Hope, 12302 Vickery Ave E, Tacoma, WA 98446.Full Summer CSA Share paid by credit card* Price: Full Summer CSA Share paid by check* Price: Half Summer CSA Share paid by credit card* Price: Half Summer CSA Share paid by check.* Price: Coupon Total Credit Card*Card Details Cardholder Name HiddenPayment Status Fully Paid Active Subscription Not Paid
