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.