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Abundant Vine CSA Customer Form
24432 Chippendale Ave. W., Farmington, MN 55024
Phone:612-207-8413
Name:
Date:
Print Form
Address:
Phone:
Submit by Email
Email:
I am interested in the following vegetables:
I am interested in the following fruits:
Beets
Carrots
Apples (in 1-2 years)
Cantaloupe
Chard
Cucumbers
Honeydew
Pears (in 1-2 years)
Garlic
Green Beans
Raspberries (1-2 yrs)
Strawberries
Leeks
Lettuce
Watermelon
Onions
Peppers (bell)
Peppers (hot
Pumpkin (decorative for table)
Pie Pumpkin
Pumpkin (carving)
Purple Potatoes
Radishes
Sweet Corn
Summer squash (zucchini)
Tomato (cherry)
Tomato (slicing)
Turnips
Winter Squash (acorn, buttercup, etc)
Other:
I am interested in the following jams/jellies, etc:
Apple Butter
Apple Jelly
Apricot Jam
Blueberry Jam
Orange Marmalade
Maple Syrup (small qty each yr)
Peach Jam
Pineapple Jam
Raspberry Jam
Strawberry Jam
Other:
I am interested in the following herbs:
Basil (Purple)
Basil (Italian/Green)
Basil (Lemon/Lime)
Chamomile
Cilantro
Dill
Lavender
Mint (Pineapple, tranditional)
Oregano
Parsley
Sage
Thyme
Other:
If you are interested in our natural/organic
soap, what natural fragrances do you like?
Lavender
Honey Oatmeal
Citrus
Almond Spice (w/cinnamon)
Anise
Coffee
Patchouli
Rose
Other floral
Unscented
Other:
I am interested in the following baked goods:
Artisan (Ciabatta, Sour, Rye)
Bagels (Plain, Variety)
Cinnamon Rolls
Cinnamon Swirl Bread
Cookies
Muffins
Other (Pretzels, twists, etc)
Whole Wheat Sandwich Bread
Quick Breads (Banana, etc)
Pizza Dough (Take home with
instructions)
Other:
Other:
Are there any
products you
don't see listed,
that you wish we
carried?
Tell us here!
Any suggestions?
Please let us
know!
A Little Bit About Me:
I'm interested in:
$10 Share (you get varying items from your
categories you picked above, worth share amount)
My choice (I want to purchase items indivually,
please send me a price list)
Do you have any dietary concerns or allergies?
Other:
What products are you hoping to get in a share?
(Select all that apply)
Vegetables
Bread (sandwich/sliced loaf)
Herbs
Fruit
Jam/Jelly
Seasonal (pumpkins)
Eggs
Artisan Bread (Ciabatta, sour dough, etc)
Every other week
Low Carb/ Paleo
Other Nut Allergy (list in other)
Celiac/Gluten Free
Vegan
Vegetarian
Other Allergy (list in other)
Number of children in your household:
Baked Goods: We try our best to cater to special diets
and allergies. Although we follow professional
standards when it comes to cleanliness and cross
contamination, we can't guarantee foods to be allergen
free in our home/farm based kitchen. We do however
have many customers and family who have allergies
(especially gluten) that can vouch that they have never
had any reactions to our products. This is because of our
strong desire that everyone should have great tasting
products that make them feel healthy and happy.
Monthly
On Demand
Other:
I prefer to pay:
Cash at pick up
Check at pick up
Homegrown Produce: We are a proud member of the
Minnesota Grown program. Our produce is not certified
organic (expensive to do so!), but we follow even stricter
standards, our own. We start with non-gmo (often
heirloom/organic) seeds. Then we use only organic
fertilizers and if nature cooperates- rain, otherwise well
water from a local aquifer. We finish off by only using
natural pest and weed controls (which usually means
"by hand").
Credit card at pick up
Online ahead of time
Other:
I would like to pick my order up in:
Farmington, MN (Tuesdays, all day)
Apple Valley, MN (Every other Thursday at 5:30pm)
24432 Chippendale Ave. W., Farmington, MN 55024
Peanut Allergy
Abundant Vine CSA Standards
Weekly
Abundant Vine CSA
Low Fat
Number of adults in your household:
If I enjoyed my first share and want to continue,
I would like to receive them:
New location
(requires a min.
of 3 shares :
Low Sugar
Other:
Other:
Woodbury, MN (Sundays at 8:30am)
Dairy Free
Organic/Natural Soap: We love making small batch
organic and natural soaps. No animal products are used
in our soap, only things like coconut oil, palm and olive
oil, and of course exotic oils. We fragrance our soaps
using only essential oil (no fake stuff!). Recipes vary, but
we love to hear your feedback- or requests!!
Email us at: abundantvine@outlook.com
or call us at: 612-207-8413
If you aren't able to submit this via emailplease scan & email, or print & mail.
Print Form
Submit by Email
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