| 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 |