Please print and fill in the form below if you would like to participate in CSA.

Name
Address
City, State
Zip Code
E-mail
Telephone
Amount Investing
Comments

If this is a gift membership, please list your name, address, and phone number, as well as the recipient's information.

Please mail this form with your check payable to:

Ramona Snell-CSA
P.O. Box 326,
Bar Mills, Maine
04004-0326

Thank you!
Call 207-929-6166
or 929-5318 to use Mastercard or Visa or if you have any questions