2025 CSA Membership Form

 

2025 CSA membership Form

Name___________________________________

Address_________________________________

_______________________________________

Phone #_________________________________

e-mail___________________________________

___Small Share ($525) choose 5-8 items per week

___ Large share ($675)choose 7-10 items per week

___Low-income small share (contact us for details) choose 5-8 items per week

___Flower share ($175) 1 Bouquet every week July through September

I’m purchasing a Farm Card in the amount of ______.

I'm donating _____ toward the low-income CSA.

Members can pick up at any location but please indicate which location you plan to usually pick up:

___ Elmira - Grove Park Market (Mondays 3-6pm)

___ Corning Farmer’s Market (Thursdays,10am-2pm)

___ On-farm (Fridays, Noon til Dark)

Muddy Fingers Farm

3859 Dugue Rd.

Hector, NY 14841

607-546-4535

muddyfingersfarm@yahoo.com