Open daily
10am - 8pm
Wickham Farms CSA Application

A $100 deposit will hold your spot. Balance is due April 15, 2012. Be sure to indicate the share size and preferred pickup day.

Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Phone:
Deposit Payment:  Credit Card (we will call you to get your     information)
  Check (Mail check, payable to Wickham Farms, to:
    Wickham Farms
    1821 Fairport Nine Mile Point Road
    Penfield, NY 14526
Referred By:
(one name only)
Share Size: Full Share - $595 (Veggies for up to a family of 4)
  Half Share - $395 (Veggies for 1-2 people)
Preferred Pickup On: Monday
  Thursday
My favorite veggies are: