Sign Up for Winter 2018-2019 CSA
Please sign me up as a Brines Farm Winter CSA program shareholder for 2018-2019! *
I have read all the details above and understand I share in the varying harvest yields that come with farming.
Have you previously been a Brines Farm CSA shareholder?
Name: *
Your answer
Address: *
Your answer
City: *
Your answer
Zip: *
Your answer
Phone: *
Your answer
Email: *
Your answer
If you are splitting your share with another family etc. please provide names, phone numbers, and emails for others:
Your answer
Pickup Location (check one): *
Payment Option: *
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