Share Registration

Welcome to Community Supported Art Philadelphia
Share Registration Form
 
Please fill out the following information to register to purchase a share for 2017 Community Supported Art Philadelphia, a project of Grizzly Grizzly and CO.
 
  • The cost of a share is $475 plus 8% Philadelphia sales tax, for a total of $513.00.
  • We will invoice you via Paypal upon receipt of this form.
  • Upon receipt of your invoice, please remit payment within 48 hours to secure your share.
 
Please note: there are only 50 shares available for purchase. Filling out this form does not ensure receiving a share. Please wait for our follow-up invoice email and submit payment to secure your share.

Registration forms will be put in a queue and the first fifty will be invoiced. A waitlist will be gathered in the event that registrants do not remit payment within the 48 hours. You will be notified if you are on the waitlist.

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* 1. Please enter your full name.

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* 2. Please enter your current billing address.

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* 3. At what email address would you like to be contacted?

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* 4. Please Enter your Daytime Phone Number.

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* 5. Please enter your Evening Phone Number.
[If this is the same as your daytime phone number, this field can be left blank.]

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* 6. How do you plan on paying for your CSA Share?

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* 7. How did you hear about CSA?

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