Free Choice Share select from seasonal produce, approximately 10-20 pounds, 4-10 items per box Option 2 ~OR~ I agree to pay $60.00 per month in SNAP benefits from my January benefits issuance (starting month) through my March benefits issuance for a Free Choice Share: select from seasonal produce, (ending month) approximately 15-30 pounds, 6-15 items per box.
Free Choice Share you select from seasonal produce, about 10 – 20 pounds/4 – 10 items $60 per month Free Choice Share: • You select from seasonal produce, about 15 – 30 pounds/6 – 15 items per box $80 per month Free Choice Share: • You select from seasonal produce, about 20 – 40 pounds/8 – 20 items per box For all CSA options: -Fill out ALL the personal information requested. Only the last digit of your SSN is required. -Pick the share that best suits your needs and complete the following for that CSA share: Where is says: “per month in SNAP benefits from my benefits issuance through my benefits issuance.” On the lines provided, you must enter a starting and ending month for your CSA share. You can only sign up for this calendar year; if you wish to receive your share every month, use December as your ending month. * DO NOT FILL OUT THE SECTION TITLED OPTION 4 (on page 2) for partial payment of SNAP benefits. * Return your completed and signed form as soon as possible. Please be aware that it can take up to a month for DTA to enroll you in their program. You can complete, scan, and email us the attached sign-up form. If you do not have a scanner, we can accept clear photographs of each page of the entire agreement attached to an email. Emails and questions should be sent to xxxxx@xxxxxxxxxxxxxxxx.xxx
