Sign Up for Farm Share

Please scroll below the online form for mail-in options


 

VINES Farm Share Agreement

  • Farm Share Communication Preferences

  • If so, Please write the year(s) you participated
    If so, please select your interest(s)
  • Pick-Up Locations

  • Farm and Size Options

    Please select one or more farm share(s): *prices listed are before discount* PLEASE BE SURE YOUR SHARE CAN BE PICKED UP AT YOUR SELECTED LOCATION.
  • Pick up Wednesdays: Roosevelt Elem, Cornerstone Health, Family Enrichment Network, or Central UMC Endicott
  • Pick up available at all locations.
    (pickups begin after Labor Day, September 3rd)
  • Payment Infomation

  • Customers who receive SNAP, WIC or meet income guidelines may be able to receive a 25% or 50% discount on share prices while funding is available. Discount is applied on a first come, first serve basis.
  • Use the chart below to find your family size and go across the row and tell us your income

    (we encourage everyone to complete this section, must be completed by discount recipients)
  • In the chart above, find the total number of family members living in your household. Follow the row across to find your income level.
  • Applicant Information

    All personal information will be kept confidential. We use this information to track our success in serving a diverse range of customers. Only income level will determine discount.
  • By signing below, I declare that the above information is true and correct to the best of my knowledge and I understand and agree to the policies of the Farm Share Program.

    Policies can be found at www.tinyurl.com/fspolicies

 


To Mail-In your agreement print and fill the form below and return to: VINES Farm Share, P.O. Box 3104, Binghamton, NY 13902

2019 VINES Farm Share Agreement 

2019 VINES Farm Share Agreement : DOUBLE SIDED PRINT