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 $420.00

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