2008 Participation Agreement Form

Member Contact Information
Name
Address
City/State/Zip Code	City State Zip
Phone	Area Code Number Ext.
E-mail
I have read and fully understand this participation agreement.
Signature
Date (MMDDYYYY)	/ /

You will receive a letter from us confirming your share.

Please mail this Agreement to:

Community Supported Garden at St. Joseph’s Center
495 Maple Lane,
Valatie, NY 12184

Please print a copy to mail with your check.