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CSA Registration Form



Email______________________________________PLEASE PRINT _____


City, State Zip_______________________________________


Subscription offering and prices: You will be provided with fresh local produce direct from the farm for 12 weeks. Starting the last week of May and ending mid-August.

(Dates may change according to weather) You can skip up to 2 weeks for vacation and still receive all your 12 weeks. The vacation weeks will be added on to the end of the program.


A subscription can be purchases for $360.00 for a LARGE share.


Or you may choose a SMALL share for $252.00.


There is also the BONUS box option costing $462..00 for the season, which includes produce, fresh country eggs, cut flower bouquet and one KY Proud food per week.

There is also a BONUS PLUS which includes all from the Bonus box plus a package of fresh pastured meat every other week. (6 total)

Each box will have a short weekly newsletter, which includes recipes for use of your produce.

Payment can be made in 2 installments of 50% down when you sign up, no later than March 1,  2021 and the remaining 50% due by April 1 , 2021.




LARGE $360.00_________

SMALL $252.00 _____________

BONUS $462.00 -------------------

BONUS PLUS $504.00-----------------------------------

Payment can be in the form of check, cash or credit card (visa or mastercard)


If paying by credit card please ,supply the following information.

Card #_____________________________________

Name on Card _______________________________

Expiration Date______________________________

Code on back of card__________________________


"Extra in my Basket"


A weekly email will be sent prior to delivery with a list of extra items available and prices. This is an optional service. . Payment for this is expected at time of CSA delivery unless other arrangements have been made. A credit card can be kept for file for the season to charge the extras if you desire.


My pledge to you:  We will grow and do our best to provide you with 12 weeks of a variety of fresh fruits and vegetables. To harvest, wash and handle your produce using good agricultural practices. Your share will be dropped off at a central location each week on Thursday. Home delivery available in Henderson city limits.  It can also be picked up on my farm.

A CSA is a shared commitment between the farm and their subscription holders. It is understood that potential problems could arise during the growing season. All reasonable strategies will be used to avoid risk. Be aware that there are no refunds.


I, the undersigned, understand this CSA application and agree to its terms.


Sign _______________________________________

Date _______________________________________

BUY LOCAL               EAT FRESH

 Hillcrest Baskets & Greenhouse LLC

4201 Anthoston- Frog Island Rd.

Henderson KY 42420

270 577 7575

"Let's Play in the Dirt!"