2020 CSA Membership Form

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Please complete all information - any questions please contact us by email

Name - please list all members for this share *

Secondary email and/or additional member email

Mailing Address *

Phone - to reach you during CSA pick up (text) *

Alternate phone-specify work/home/member name

CSA Delivery Location - Choose one *

Tuesday - Corning - Downtown- Arthur Street 12:15-1:45 pm

Tuesday - Horseheads - Guthrie Medical - 31 Arnot Rd - 1:00-1:15

Tuesday - Horseheads - Jubilee Plaza / Middle School / Eaton 1:30-2pm

Tuesday - Elmira- Arnot Ogden Hospital - Time -approx 2pm

Tuesday - Geneva - The Geneva Family YMCA - 5-5:30pm

Wednesday - Watkins Glen - Seneca Sunrise Coffee 12-6pm

Thursday - Penn Yan Elementary School - 1-1:30pm

Thursday - Watkins Glen - Farm Sanctuary - 4:30-4:45 pm

Thursday - Hammondsport - Finger Lakes Brewing - 5-5:30pm

Friday - Gang Mills - Sullivan Park 12-1pm

Friday - Painted Post - Diesel Plant 1:30-1:45

Friday - Painted Post - Erwin Plant 2pm

Friday - Rock Stream - Ever Green Farm - 4:30-6:30pm

Other:

Payment Method *

Pay by check made payable to Ever Green Farm -5942 Old Lake Road, Rock Stream, NY 14878

Pay online - fees apply (Purchase on our website - Square or PayPal)

Cash

Other:

Payment Options *

Payment in full

Split Payment ($262.50 each - 1st payment due by June 1 & 2nd due by Aug. 1st)

Deposit for 2020 ~ $125 - Choose Payment Plan Option below

Other:

Payment Plan options after deposit

After Deposit - Payment Plan ($100 x 4 months) May-August

After Deposit - Payment Plan ($80 x 5 months) May-September

Clear selection

Online Payments Only - would you like to request online invoicing

Yes

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Membership Agreement *

I have read the membership agreement

Required

How did you learn about our CSA? Feel free to leave any other information we should know here.

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