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Plowbreak Farm CSA sign-up sheet
We are glad to have you join us this year! Please fill out this form, then mail a check to us at:
4106 Covert Road, Hector NY 14818.
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Name of member
*
Your answer
Name of member #2
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Your answer
What is your email address?
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Your answer
What is your share partner's email address?
*
Your answer
Number of children (under 18) in your household?
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Your answer
Which pick-up location will you be joining?
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Liquid State Brewing (Market-style free choice share, 620 W Green St, Ithaca; Thursday 4:30 to 7 p.m.
Plowbreak Farm (Boxed share, 4106 Covert Road, Hector, NY; Wednesdays 3 till 7 p.m.)
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