Sign Up for Farm Share

Farm Share Sign Ups are now open.  Complete the form below, or if you prefer you can mail in a hard copy. Printable links available at the bottom of the page.

 

VINES Farm Share Agreement

  • Farm Share Communication Preferences

    If so, please select your interest(s)
  • Pick-Up Locations

  • Farm and Size Options

    Please select one or more farm share(s): *prices listed are before discount* PLEASE BE SURE YOUR SHARE CAN BE PICKED UP AT YOUR SELECTED LOCATION.
  • Pick up Thursdays:
  • Pick up Wednesdays: Roosevelt Elem, Southside, Family Enrichment Network, or Rural Health Network Pick up Thursdays: Central United Methodist and Lee Barta Community Center
  • Pick up Thursdays:
  • Check all that apply:
  • Payment Infomation

  • Customers who receive SNAP, WIC or meet income guidelines may be able to receive a 25% or 50% discount on share prices while funding is available. Discount is applied on a first come, first serve basis.
  • Use the chart below to find your family size and go across the row and tell us your income

    (We encourage everyone to complete this section. It must be completed by discount recipients)
  • In the chart above, find the total number of family members living in your household. Follow the row across to find your income level.
  • Applicant Information

    All personal information will be kept confidential. We use this information to track our success in serving a diverse range of customers. Only income level will determine discount.
  • By signing below, I declare that the above information is true and correct to the best of my knowledge and I understand and agree to the policies of the Farm Share Program.

    Policies can be found at www.tinyurl.com/fspolicies
  • Date Format: MM slash DD slash YYYY

 

Single-sided agreement

Double-sided agreement