CSA REGISTRATION


Cooper's CSA Farm & Maze
266 Ashworth Road
Zephyr, ON
L0E 1T0
Name:
Address:
Phone:
Email:
CSA Share:
How did you hear of us?  (If by referral, please let us know who so they will receive their credit)

Please print this page and mail it to the address below with your payment if paying by cheque or cash. *Debit customers must pay at the farm*
As this is not a secure site, if you are paying by Visa or Mastercard, please enter your selections and submit.  Then click on the email address below and send us your credit card information, or call the phone number and leave your card information on the voice mail.
Our summer CSA share is 23 weeks in length and started on June 3rd!! There's still room for you to join!!!
Double Share $645Single Share $350
Summer Meat Share $500 (pick-up only)
Delivery +$115 rate**Check CSA Page for discount details
Hot House Share $65
Summer Poultry Share $250