Image for CSA Site Drop Off Request Form

Interested in having Mississippi Market serve as a pickup site for your CSA? Please complete the form below to tell us more about your farm and CSA program.

Filling out this form does not guarantee approval—we’ll review your request and follow up if we’re able to accommodate your CSA.

A few things to note:

  • We do not offer refrigeration for any CSA pickups
  • We can only offer pickup on the day of delivery. All leftover boxes are donated to local food shelves
  • We will require that you send your participants our ‘CSA letter’ that gives boundaries around our CSA program at Mississippi Market
  • Mississippi Market staff are not responsible for managing the CSA pickup or concerns from your participants

Contact Information

Farm Contact Name(Required)
This would be the person that our staff will contact if there are any issues to be resolved. This is also the contact information we would give to shoppers or customers who have concerns or questions about your CSA.
Farm Contact(Required)
How do you prefer we contact you(Required)
Delivery Driver Name

CSA Request Details

Have you dropped off at Mississippi Market in the past
Which day of the week are you requesting for CSA Delivery?(Required)
Which store are you requesting to drop off at(Required)

Please confirm the following

I understand that filling out this form IS NOT A GUARANTEE OF ACCEPTANCE. I will be notified whether or not I can use Mississippi Market as a drop site by email(Required)
I understand that if selected, I will need to send a CSA Letter to my participants outlining the process for pickup at Mississippi Market(Required)
I understand that Mississippi Market staff are not responsible for coordinating communication about my CSA including issues with delivery and managing complaints and questions(Required)
I understand that Mississippi Market does not store CSA boxes overnight or in the fridge for participants. I understand that my participants will only have until store close (9:00p.m.) on the day of delivery to pickup their boxes(Required)
If selected, we are able to delivery before 1p on CSA delivery day(Required)
Please let us know what's on your mind. Have a question for us? Ask away.