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CSA Registration Form

All fields are required.

First Name: Last Name:

Address:

City: State: Zip:

Phone Number: () -

Email Address:

Second Email Address (not required; only for joint shares):

Share Size:

Half-Share $250 Full-Share $400

Share Pickup Day:

We're sorry, Tuesday registrations are currently full! You may call the farm and ask to be placed on the waiting list.

Friday






Please type your full name in the field above to acknowledge
that you are entering an agreement, and that you accept the terms and conditions
of that agreement as detailed here.



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Woodstown, New Jersey | eric@buzbyfarm.com | (856) 297 - 1656

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