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I would like to join your CSA program.
Fields marked with * are required.
First Name:
*
Last Name:
*
E-mail address:
*
Home address:
Home phone:
Cellular phone:
Size of box:
Large box – 105 NIS per week
Small box – 80 NIS per week
Delivery method:
Home delivery – 20 NIS per delivery
Pick-up point – 5 NIS per delivery
I would like to try the program for 4 weeks before making a commitment.
Comments & suggestions:
Take me back to the
english
information
