Winter CSA Registration

Contact Info





This is our primary means to communicate news and updates about the CSA to members, and everyone is added at registration. If you choose, you are welcome to un-subscribe to our emails.





We encourage all members to subscribe to text alerts as this is a useful way to communicate reminders and last minute changes to pick-ups such as bad storms! You can opt out at any time by responding STOP
Member Info
We ask the following to make sure we meet everyone's needs — inclusive of race, ethnicity, age, gender, sexual orientation, and CSA experience. Every question in this section is optional, but your willingness to share helps us evaluate our program and access funding resources.











Delivery
You may request delivery of your CSA share if one of the following circumstances describe your situation AND you in Massachusetts, within 5 miles of the farm.
    • You have limited mobility that prevents you from coming in person 
    • You have high risk conditions, or are otherwise vulnerable due to Covid-19
    • You live at Leyden Woods, Oak Courts, or Elm Terrace


Delivery Address




Payment Options

We've made some changes to our Winter Share based on your feedback! This year each monthly box will be slightly smaller but still feature a bountiful variety of local greens, roots, squashes, frozen ready-to-use fruits & veggies, and value-added products. We've also added an optional add-on monthly meat share featuring a rotating variety of local chicken, beef, pork, and fish!

The Winter Share costs $250. You have the option to pay in full now, or pay a $125 deposit and pay the remainder before 2/22.

The Meat Share costs $250. You have the option to pay in full now, or pay a $125 deposit and pay the remainder before 2/22.

If you would like to pay with SNAP/HIP please submit an AutoSNAP form (attached on the following page), and $50/month from January-May will be automatically withdrawn from your SNAP account.

PLEASE NOTE: automatic SNAP/HIP payments are for produce shares only. Meat shares will require manual $50/month manual SNAP payments at pickups/upon delivery.





You are permitting Just Roots to deduct $50 per month from your SNAP account from January through May. Please follow the instructions to sign up and then sign this form before submitting!



Paying with Auto-Snap
To use SNAP to pay for a CSA share, we use something called an "Auto-SNAP" form! It's a form that lets Just Roots automatically receive your payments on a set monthly schedule! It saves time and energy for you and for us! See the steps below to complete the form.

If you have any questions about Auto-SNAP or the Health Incentives Program (HIP), or you don't think you have enough SNAP money to cover the cost of the share, give us a call! 

You can reach us at csa@justroots.org or (413)325-8969
  1. Download the Auto-SNAP form HERE!
  2. Print and fill out the form or use a photo editor on your computer like Adobe or Preview
  3. After your form is filled and signed, take a clear photo and upload it below.

Rather send by mail? Send to: Just Roots 34 Glenbrook Dr. Apt 1B Greenfield, MA 01301 attn: CSA

You are permitting Just Roots to deduct $100 per month from your SNAP account from January through May. Please follow the instructions to sign up and then sign this form before submitting!



Paying with Auto-Snap
To use SNAP to pay for a CSA share, we use something called an "Auto-SNAP" form! It's a form that lets Just Roots automatically receive your payments on a set monthly schedule! It saves time and energy for you and for us! See the steps below to complete the form.

If you have any questions about Auto-SNAP or the Health Incentives Program (HIP), or you don't think you have enough SNAP money to cover the cost of the share, give us a call! 

You can reach us at csa@justroots.org or (413)325-8969
  1. Download the AutoSNAP form here!
  2. Print and fill out the form or use a photo editor on your computer like Adobe or Preview
  3. After your form is filled and signed, take a clear photo and upload it below.

Rather send by mail? Send to: Just Roots 34 Glenbrook Dr. Apt 1B Greenfield, MA 01301 attn: CSA
By paying now with card, your second payment of $125 will be automatically charged on 2/22
By paying now with card, your second payment of $250 will be automatically charged on 2/22
Your second payment of $250 will be due by 2/22
Your second payment of $125 will be due by 2/22
Can you help make Just Roots CSA and programming available to EVERYONE in our community by adding a donation to your CSA payment today?





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We understand not everyone is able to make a donation at this time. If you are able to make a donation in the future, you can do so through our website at https://justroots.org/give/ 
SNAP

You are permitting Just Roots to deduct $50 per month from your SNAP account for a Winter share. Please follow the instructions to sign up and then sign this form before submitting!


Paying with Auto-Snap (FOR PRODUCE SHARE ONLY!)
To use SNAP to pay for a produce share, we use something called an "Auto-SNAP" form! It's a form that lets Just Roots automatically receive your payments on a set monthly schedule! It saves time and energy for you and for us! See the steps below to complete the form.

If you have any questions about Auto-SNAP or the Health Incentives Program (HIP), or you don't think you have enough SNAP money to cover the cost of the share, give us a call! 

You can reach us at info@justroots.org or (413) 325-8969

Rather send by mail? Send to: Just Roots 34 Glenbrook Dr. Apt 1B Greenfield, MA 01301 attn: CSA
Media Release
Media release conditions: I hereby grant Just Roots permission to use my likeness in a photograph, video, or other digital media in any and all of its publications, without compensation or other consideration. 

I understand and agree that all media in which I appear as a part of my CSA membership are the property of Just Roots.

I hereby irrevocably authorize Just Roots to edit, alter, copy, exhibit, publish, and distribute media in which I appear in lawful ways. I waive any right to inspect or approve this media. 

I hereby hold harmless, release, and forever discharge Just Roots from all claims, demands, and causes of action which I, or any other persons acting on my behalf have or may have by reason of this authorization.

If you do not accept the conditions of the Just Roots media release contact csa@justroots.org or call 413-325-8969 to register for your CSA share.
Member Commitment
By signing up for a CSA share with Just Roots, I am committing to a season of fresh, local, naturally grown vegetables. I understand that the CSA model is one of risk and reward. In most seasons, we share in the great bounty! In a harder season (drought/floods), I may receive less than I hoped for. I trust that our farmers are doing all they can to provide me with a bountiful share, and by participating in this farm share, I am pledging my support to my farmers and farm. Together we make a strong farm community!


Static field that can be updated by JR. It's just used in the connector to pass the total expected payment amount to Salesforce

Calculated field. If $0, iATS will not set up a recurring payment schedule. 

Static field that can be updated by JR. It's used by iATS for the scheduled payment start date if the person is paying in multiple installments rather than all at once. Changing this will change the scheduled payment start date for all new submissions. The scheduled payment is handles separately than the one-time (due now) payment so the start date should be for when the scheduled payment starts. 

Static field that can be updated by JR. It's used by iATS for the scheduled payment end date if the person is paying in multiple installments rather than all at once. Changing this will change the scheduled payment end date for all new submissions.

Payment






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