Thanks to all who have joined our 2011 CSA season. If you would like to join our 2012 season please complete the form below. You will receive an email confirmation. If you do not, please call us at 262–675–6755 as we are experiencing some challenges in the “logic” of the sign-up sheet.

Feel free to contact Farmer Alissa if you have questions (wellspringcsa@gmail.com)!

Provide Your Information

If the membership is being split between two individuals, write both names and email addresses. Required values are starred.

Name (1) *:
Name (2):
Address *:
City *:
State *:

Zip *:
Phone(s) *:
Email (1) *:
Email (2):
Interests:
Talents:

Choose Your Membership Level

Community Share (great value!) - $455 (Receive our Full Share and agree to volunteer
two 4-hour shifts over the course of the season. We’ll be in touch soon to arrange work shifts should you choose this option.)
Full Share - $495 (Receive one share of farm produce every week for 20 weeks.)
Half Share - $305 (Receive one share of farm produce for 10 alternating weeks.)
Winter Share - $150 (New for 2012! Receive three deliveries every other week for six weeks in October and November.)

Egg Share

Some of the best organic, free-range eggs around, from our neighbor Matt Gall at Evergreen Lane Farm, Saukville. Eggs available to Community, Full or Half shareholders only.
No thanks
Egg Share (weekly) - $79
Egg Share (alternate weeks) - $39.50

Pick-up sites and delivery fees:

Save time and gas! Wellspring’s delivery fees range between just $2.30 and $4.60 per week. Half Shares are half the delivery fee. Community Shares are subject to Full Share fee:

Newburg, Wellspring 4382 Hickory Rd. Thursday, 2PM-7PM (no delivery fee)
West Bend, Imagine Coffee House and Catering, 705 Village Green Way #102 Thursday, 2PM-6:00PM
($50 fee Full, $25 Half, $8 Winter)
Grafton, Slow Pokes Local Foods, 1229 12th Ave., Thursday, 2:30PM-6PM ($75 fee Full, $37.50 Half, $13 Winter)
Cedarburg, Olsen’s Piggly Wiggly, W61 N286 Washington Ave., Thursday, 1PM-9PM ($75 fee Full, $37.50 Half, $13 Winter)
Menomonee Falls, To Be Announced, Thursday, 4PM-8PM ($75 fee Full, $37.50 Half, $13 Winter)
Milwaukee, Outpost Natural Foods, 100 East Capitol Dr. Thursday, 3–8:30PM
($100 fee Full, $50 Half, $18 Winter)
Wauwatosa — Milk ‘n Honey, Milk ‘n Honey Natural Foods, 10948 W. Capitol Dr. Thursday, 2PM-7PM
($100 fee Full, $50 Half, $18 Winter)
Wauwatosa — Farmers’ Market, Wauwatosa Farmers’ Market, Downtown. Saturday, 8-noon ($100 fee Full, $50 Half, $18 Winter)
Mequon, Piggly Wiggly, 6111 W. Mequon Rd., Thursday, 1:30PM-9PM ($75 fee Full, $37.50 Half, $13 Winter)

Participating In Farm Operations

We ask that all Community Share Members volunteer two 4-hour shifts per membership (per season) as a way of contributing to our Farm’s success. Shifts for all volunteers occur at set times each week. Information about these times, and about the different types of volunteer work available, will be forthcoming soon on this website. In the interim, call or email us if you have questions.

Payment Options

Check — Make check payable to Wellspring. Print your confirmation email, and mail it along with your check to:

Wellspring - Attn: CSA Memberships
4382 Hickory Rd.
West Bend WI 53090

Visa or MasterCard — If you select this option, please Contact Us with your credit card information to complete the sale or sign-up now on a secure web site thru PayPal (next button).

PayPal is a secure site that can accept VISA, MasterCard, Discover and American Express cards for payment. If you select this option, you will be transferred to PayPal after completing this form to complete the sale.

Total

Your grand total is: $

Payment Schedule

Pay in full — Pay in full — Pay entire shareholder fee now. Mark this option and send us a check or use PayPal.

Pay in monthly installments — (Shares must be paid for in full by March 31, 2012). This option is available for those paying by credit card as well as check. You MUST call us to arrange this option (262–675–6755).

We apologize as we are experiencing some challenges with the ‘logic related to adding up share, delivery, etc. Should the total not be accurate, we will be in touch to work out the details and to get credit card information should the PayPal link not be operating!

How did you hear about us? Anything else we should know?

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Page last modified on February 06, 2012

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