Registration Form

Online Registration Form

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

CSA Membership *

CSA Share: $500 Working Member: $400 + 60 Hours of Field Work

Orange County Member Distribution:
Thursdays, 5:00 PM to 6:30 PM
Saturdays, 9:30 AM to 11:00 AM

Comment *

Submit

Payment Options

Payments can be made in full or through installments. Installments must be completed by first distribution.

Checks are made payable to the Broadlea Harmony Farm, Inc.

Online Registration
If you have registered through the online form, you will need to send in payment to finalize your membership.

Mail-in Registration
Download the registration form and complete. Please include payment with your registration form.

2020 Registration Form for CSA Membership
File Size:	221 kb
File Type:	pdf

Download File

2020 CSA Membership Information Sheet
File Size:	117 kb
File Type:	pdf

Download File

Address for mailing registration forms and payment is:

Harmony Farm
144 Broadlea Road
Goshen, NY 10924

Online Registration Form

﻿Payment Options﻿

Payment Options