Flower Bucket CSA Form

Please Read and Fill Out In Full

Thank you for joining Backyard Produce & Cut Flowers CSA, we appreciate you supporting our small scale farm!  Completing this form and submitting payment will hold your spot for the 2018 CSA.

CSA is a partnership between farmer and member and by paying for your vegetables and cut flowers upfront you take on some of the risk involved with farming.  As your farmers we will work to ensure your investment turns into delicious and healthy vegetables and fruits and beautiful and long lasting cut flowers.

By signing this form and joining our CSA you agree to the following:

  • We do not guarantee any specific vegetable or cut flower or specific quantity of vegetable or cut flower.  Vegetable and flower varieties and quantities will vary through out the season
  • Mother Nature is our boss and on rare occasions, despite best laid plans, there may be crop failure
  • Weather and bugs can sometimes damage or destroy crops
  • You are responsible for bringing your own bag(s) or container(s) to CSA pick-up
  • CSA pick up is a set time and place, please follow.  If you are unable to make the CSA pick up, please contact us and make different arrangements
  • We will not be offering farm tours on CSA pick up days.  We will be in contact with you to arrange for a private tour at a different time
  • There are no refunds or discounts on CSA

Payment may be made by check or online

This form must be filled out electronically.  We will not except any payment without this form. 

If you choose to pay by check, it must be received within 2 weeks of this form being submitted in order to hold your spot for this years CSA.  Please be sure and put the shareholders name and type of share in the memo.  We thank you in advance!  Pricing and mailing information will be provided after this form is completed

Payment may also be made electronically.  If you choose to pay online you will be directed to this option after this form is submitted, you will see the link on the next page. 

Flower Bucket CSA pick up will begin Thursday, July 12th, 2018

If for some reason this changes you will be notified immediately

CSA pick up will be held Thursday evenings from 4-6:30 pm at Backyard Produce & Cut Flowers located at 11144 Eaton Ln. Belle Fourche, SD

Click here for map

Flower bucket subscriptions come pre-packed with a variety of flowers and fillers ready to go!  Care instructions and flower food are included.  You are responsible for bringing your own bucket or container of your choice.

If you do not pick up your flower bucket share it will be donated to a local long term care facility the following morning.

We hope you are just as excited as we are for an amazing CSA season!

My Agreement *
By clicking these boxes I read and understand the above terms and conditions of membership in Backyard Produce & Cut Flowers CSA. By entering my electronic signature I am agreeing to abide by the agreement and terms outlined in this document
Please type full name for electronic signature
Prices include 4.5% sales tax
Select which month you would like to receive your bucket share
Name *
Address *
Phone *