Goose and Gander Farm

2017 CSA Membership Form

Name *
Name
Phone *
Phone
Address *
Address
Add-Ons
Eggs
Flowers
$12/Jar, delivered as it becomes available
$22/Jar, delivered as it becomes available
Bread
Whole loaf of fresh-baked bread from Columbia City Bakery (not available for East Side deliveries)
Poultry is $6.50/lb, with a $10 deposit collected with your registration fee.
Anything you'd like to add? A new pick up location you'd like to suggest?
Goose and Gander CSA Share Agreement *