Glacier Valley Farm CSA  >  Member Registration
Member Registration
* Username
Usernames must be at least 4 characters long
* Password
Passwords must be at least 5 characters long
* Password Confirm
* Email Address
* First Name
* Last Name
* Primary Phone
The phone number where we'll be most likely to be able to reach you during the day.
Secondary Phone
an alternate phone number if we can't reach you at your primary number
Alternate Phone
do you have a 3rd number?
* Pickup Location
Where would you like to pick up your order each week?
Note: If you change this, be sure to check your order confirmation emails to determine when the change will take effect.

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