Stony Loam Farm Membership Form 2021
Name: _______________________________________________________
Phone: _______________________________________________________
Address: _____________________________________________________
E-mail: ______________________________________________________
We would prefer to communicate via e-mail. Is this okay with you? ____yes ____no
_____ Half Share at $475
_____Small Family Share at $575
_____Large Family Share at $675 (Installment plans are available upon request)
_____Underwriters share to support local food shelf donations and/or low-income shares through NOFA Farm Share Program
Send to: STONY LOAM FARM, P.O. Box 282, Charlotte, VT 05445