LexFarm · LexFarm Membership by Credit Card

LexFarm Membership by Credit Card

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

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 the following Basic Membership

*

$25 - Basic Individual

$45 - Basic Household

I would like to upgrade my membership with an additional donation of:

$55 - Gardener (Total = $100)

$205 - Seeder ( Total = $250)

$455 - Grower (Total = $500)

$955 - Cultivator (Total = $1,000)

$4,955 - Steward (Total = $5,000)

$

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

LexFarm uses PayPal to process online credit card donations. After you click "Enter payment information" you will need to click this button on the next screen:You do not need a PayPal account to pay by credit card through PayPal. If you are having difficulty paying by credit card please see these instructions.

After submitting this form, you will receive an email confirmation that includes your membership information.

Thank you for your LexFarm membership!