VERONICA’S GARDEN
2023 CSA APPLICATION FORM - RIDGEFIELD
JUNE 17 TO OCTOBER 7, 2023
2023 CSA APPLICATION FORM - LACHAT, WESTON
JUNE 20 TO OCTOBER 10, 2023
PRICES VALID UNTIL 12/20/22
THEN WILL INCREASE TO:
FULL SHARE: $675 ...... !/2 SHARE: $445
NAME: __________________________________________________________________
ADDRESS: _______________________________________________________________
PHONE (HOME): _________________________(CELL): _________________________
EMAIL:
_______________________________________________________________
PLEASE CIRCLE APPROPRIATE CSA AND TYPE OF SHARE
VERONICA'S
GARDEN CSA : FULL SHARE: $640 HALF SHARE: $425 UNTIL 12/20/22
LACHAT CSA: FULL SHARE: $640 HALF SHARE: $425 UNTIL 12/20/22
*************************************** CSA DISCLAIMER & AGREEMENT *****************************
As a member of the CSA at Veronica’s Garden, I am making a financial commitment for the 2023 season to receive a weekly vegetable bag. I recognize that due to the inherent
risks of farming, there are no guarantees on the exact amount of produce I will receive due to weather extremes, insects and/or other production factors. I am willing to share the risks of sustainable growing methods and reap the benefits along with
the farmer. I understand that no refunds for CSA shares will be granted during the season. It is my responsibility to pick up the share at the pickup site during the designated time period or send someone in my absence.
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MEMBER SIGNATURE
DATE
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Veronica's Garden Signature
DATE
MAIL TO: Veronica's Garden, c/o Mr. Bob DiNucci, 71 Hussars Camp Place,
Ridgefield, CT 06877
OR Scan and EMAIL form to veronicasgarden9@aol.com and VENMO
your payment using the QR code on the HOW DO I SIGN UP tab