YOURCSA.COM - Dinihanian's Farm Market

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Sign-Up

Applications Must Be Filled Out On-Line Or At The Farm
(After submitting this form we would appreciate if you mail or deliver your check to Dinihanian's Farm Market)
CSA = Community Supported Agriculture

Dinihanian's Farm Market
15005 NW Cornell Rd
Beaverton, OR 97006

Make Checks payable to Dinihanian's Farm Market

Feel Free to stop by our farm. We are open every day 10 a.m. to 6 p.m. 
  • We except Cash, Check or Credit Card.
  • Application Form
    Name:
     * required
    Phone:
     * required
    Email:
     * required
    Mailing address:

    Select Size of Share:

    Preferred Pick-Up Day:

    (Monday Pickups are for Nike employees and contractors only)


    Best Way To Contact You:


         I understand that Dinihanian's Farm Market is a diversified farm. Along with being a CSA (Consumer Supported Agriculture), Dinihanian's Farm Market will continue to sell some farm products through other outlets. I agree that I will share in the bounty and assume the risk of the harvest with the farmer. I have read and understand the farm policies.


    Signature:

     * required
     
    Print

     

    Date:

    Full Share:

    Half Share:

    7 Weeks

    1-Sep

    $189.00

    $126.00

    6 Weeks

    8-Sep

    $162.00

    $108.00

    5 Weeks

    15-Sep

    $135.00

    $90.00

    4 Weeks

    22-Sep

    $108.00

    $72.00

    3 Weeks

    29-Sep

    $81.00

    $54.00

    2 Weeks

    6-Oct

    $54.00

    $36.00

    1 Weeks

    13-Oct

    $27.00

    $18.00

    Dinihanian’s Farm Market * 15005 NW Cornell Rd * Beaverton,Or 97006
    Email: csainfo@yourcsa.com * Fax: (503)645-0635