Sinemus Farms Community Supported Agriculture (CSA) Membership Form

Name(s)

 

Mailing Address

 

City and Zip Code

 

Phone Number(s)

 

Email Address(es)

 

 

Membership Share Amount $395.00

 

Payment Method

 

         Check (Please make checks payable to Sinemus Farms)

 

         Cash

 

         Credit Card (Call us with your information)

Please print and mail this form with your payment to:

 

Sinemus Farms

6959 Norton Road

Elba, NY 14058