CSA Registration Form

Registration Form

Cenerini Farms CSA 2021

 

 

Last name:_____________________   First name:  ________________

 

Street address or PO Box: ____________________________________

 

Postal code: ________________________________________________

 

Email address (please enter only one): __________________________

 

Primary phone number: ______________________________________

 

Share size:

        _________  Full-share

        ____ Half-share

 

 

Once completed, please mail registration form and payment to:

                        Cenerini Farms

                   27 Bridgman Place

                   La Salle, MB

                   R0G 0A2

 

Or, you can email it to cenerinivegetables@outlook.com and mail payment separately to the above address. Please make cheques payable to Rhéal Cenerini. You can also pay by e-transfer to this email address. Thank you.

 

 

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