Member Registration
Glacier Valley Farm CSA
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Member Registration
Member Registration
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Username
Usernames must be at least 4 characters long
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Password
Passwords must be at least 5 characters long
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Password Confirm
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Email Address
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First Name
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Last Name
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Primary Phone Number
The phone number where we'll be most likely to be able to reach you during the day.
Secondary Phone Number
an alternate phone number if we can't reach you at your primary number
Alternate Phone Number
do you have a 3rd number?
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Pickup Location
Where would you like to pick up your order each week?
All Around Tire (Wasilla)
Anchor Pub & Club
Aurora Waldorf School
Balanced Health Chiropractic
Chugach Electric (employees only)
ConocoPhillips Building (employees only)
First Choice Physical Therapy (Wasilla)
Girdwood Chapel
HOMER- Ring of Fire Meadery
Kremer Chiropractic Clinic
Museum Source, University Center
One Family Birth Center
Organic Alaska
Over the Rainbow Toys
Palmer Seventh Day Adventist Church & School (Palmer)
Ri-Generation Nutrition Health Foods (Eagle River)
UAA Mat-Su College (Mat-Su College benefited employees only) (Palmer)
UAA, Lucy Cuddy Hall
Winterberry Charter School
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