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: $550 Working Member: $450 + 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,
membership is confirmed by mailing in payment.

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

registration_form_2023.pdf
File Size:	225 kb
File Type:	pdf

Download File

hf_2023_csa_flyer.pdf
File Size:	166 kb
File Type:	pdf

Download File

Address for mailing registration forms and payment is:

Sr. Ellenrita Purcaro
Harmony Farm
144 Broadlea Road
Goshen, NY 10924

Online Registration Form

﻿Payment Options﻿

Payment Options