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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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