LexFarm · LexFarm Membership by Check

Contact Information

Name

*

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email

*

Verify Email

*

Phone

*

Membership Information

Is this a New LexFarm Membership or a Renewal?

*

New

Renewal

The amount of your membership contribution determines your annual Membership Level:

Please note that a Basic Household membership is required to purchase a CSA share and for discounts on LexFarm education programs.

I would like to make a membership contribution of:

*

Basic Individual ($25+)

Basic Household ($45+)

Gardener ($100+)

Tiller ($250+)

Cultivator ($1000+)

Other amount

Other:

Please enter the dollar amount of your contribution. Enter a number only (no '$')

Basic Individual Level

You have chosen a membership at the Basic Individual ($25+) level.

Basic Household Level

You have chosen a membership at the Basic Household (45+) level.

Gardener Level

You have chosen a membership at the Gardener ($100+) level.

Tiller Level

You have chosen a membership at the Tiller (250+) level.

Cultivator Level

You have chosen a membership at the Cultivator ($1000+) Level

Additional Household Member

Household memberships and higher can be shared with a Spouse/Partner in the same household. Please note that this is for donation tracking purposes only.

Would you like to enter contact information for a Spouse/Partner in the same household?

*

Yes

No

Name of Spouse/Partner:

First Name

Last Name

Spouse/Partner Email

Verify Email

Spouse/Partner phone

Membership Payment

When you hit the "Submit" button below, we will receive the information above, including the membership level and associated donation you have indicated.

Please complete your membership registration by mailing a check within one week to:

LexFarm
P.O. Box 554
Lexington, MA 02420

You will also receive an email confirmation that includes the membership information you have provided and a reminder to mail your check to the address above.

Thank you for your LexFarm membership!