|CSA Registration Form|
Cenerini Farms CSA 2020
Last name:_____________________ First name: ________________
Street address or PO Box: ____________________________________
Postal code: ________________________________________________
Email address (please enter only one): __________________________
Primary phone number: ______________________________________
Preferred pick-up location: *Please note that we will try to accommodate your preference as best we can, while still balancing out the numbers between the two locations.
_____ West side of Winnipeg (precise location TBA)
_____ East side of Winnipeg (precise location TBA)
_____ No preference
Once completed, please mail registration form and payment to:
27 Bridgman Place
La Salle, MB
Or, you can email it to firstname.lastname@example.org and mail payment separately to the above address.