VINES

Member Information:

Step 1 - 5

* indicates required field.

First Name*

Last Name*

Email*

Password* (Must be at least 8 characters.)

Address*

City*

State*

Zip Code*

Phone*

All personal information will be kept confidential. We use this information to track our success in serving a diverse range of members.

Race*

Gender*

Ethnicity*

Have you participated in VINES Farm Share in the past?*

Number of adults (including yourself) in the household?*

Number of children (under age 18) in the household?*

Farm Share Communication Preferences:

Best way to contact me on the day of pick-up and weekly reminders.*

Primary language spoken in home, if not English.

Pick-Up Information:

Step 2 - 5

Pick-Up Location	Pick-Up Day	Pick-Up Time	Farm Options
Binghamton Urban Farm 16 Tudor St., Binghamton	Wednesday	3:30-5:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Endwell United Methodist Church 3301 Watson Blvd., Endwell	Wednesday	4:00-6:00 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Fairview United Methodist Church 254 Robinson St., Binghamton	Wednesday	3:30–5:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Family Enrichment Network (FEN) 24 Cherry St., Johnson City	Wednesday	4:00-6:00 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
VINES Office 157 Susquehanna St, Binghamton	Wednesday	9:00-5:00pm
Whitney Point United Methodist Church 7311 Collins St., Whitney Point	Wednesday	3:00-4:30 PM	- Main Street Farms

Central United Methodist Church 17 Nanticoke Ave., Endicott	Thursday	4:00-6:00 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Head Start	Thursday
Lee Barta Community Center 108 Liberty St., Binghamton	Thursday	2:30-4:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Nature's Design Health Food Store 79 Glenwood Ave., Binghamton	Thursday	3:30-5:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Saints John and Andrew Catholic Church 1263 Vestal Ave., Binghamton	Thursday	3:30-5:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Tabernacle United Methodist Church 83 Main St., Binghamton	Thursday	4:00-6:00 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm
Temple Israel 4737 Deerfield Place, Vestal	Thursday	3:30-5:30 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm

Windsor Human Development 594 Kent St., Windsor	Friday	2:00-4:00 PM	- Binghamton Urban Farm - Main Street Farms - Wander Creek Farm

Share Information:

Step 3 - 5

Share contents vary: I understand that my share payment does not guarantee me an exact amount or exact types of produce. Some produce may be less abundant or substituted for other produce at times, depending on weather and other growing conditions. I am making a commitment to support local farmers and share in the rewards and risks of the growing season.

Share Size	Share Description	Price (per week)
BUF Mini	4 types of produce; feeds 1–2 people	$13.00
BUF Single	6–8 types of produce; feeds 2–3 people	$23.00
BUF Large	9–11 types of produce; feeds 4+ people	$30.00

Share Size	Share Description	Price (per week)
Main Street Mini	4 types of produce; feeds 1-2 people	$14.00
Main Street Biweekly Small	Same as Small; pickup every other week	$28.00
Main Street Small	6–7 types of produce; feeds 2-3 people	$28.00
Main Street Biweekly Regular	Same as Regular; pickup every other week	$35.00
Main Street Regular	8–9 types of produce; feeds 4+ people	$35.00

Select	Share Size	Share Description	Price (per week)
	Wander Creek Small	6 types of produce; feeds 2-3 people	$29.50
	Wander Creek Large	12 types of produce; feeds 4+ people	$44.50

Payment Information:

Step 4 - 5

1. How often would you like to pay for your share?*

2. Would you like to apply for the share discount?*

Members who meet income guidelines may be eligible to receive a 25-75% discount while funding is available.

Choose your family size and current income to check your discount eligibility.*

(We encourage everyone to complete this section. It must be completed by Discount Recipients)

a. No. of family members living in household*

b. Choose your current household income*

In an effort to make healthy food affordable to all families, VINES Farm Share partners with State and Local Grantmakers, and generous donors to provide discounts on shares for people who receive SNAP, Medicaid (limited to certain restrictions), or fall within our income eligibility guidelines. This means that our farmers are still paid in full for every share.

Discount Level:	Qualifications
25% off	Income-based
50% off	Income-based
75% off	Farm Share member is on SNAP and pays with EBT card
100% off	Eligibility for up to 100% off is now limited to Medicaid members who meet specific health-related criteria. To qualify, the member must be: Pregnant, Postpartum (within 12 months), or A high-risk youth under 18 as defined by New York State in the Social Care Network Manual

3. Are you currently enrolled in any of the following programs?

SNAP/EBT

Medicaid

Medicare

Produce Prescription Program

4. Would you like to make your share a solidarity share?*

Adding $3 to $5 a week to your share price will help provide a share to another family.

5. We rely on community support to run our program. Would you like to make a one-time tax-deductible donation to help other families access healthy, affordable food?*

Most of the money you pay for your share goes directly to the farmers.

$10

$25

$50

Other

Review Information:

Step 5 - 5

First Name:
Last Name:
Email:
Phone:

Address:
City:
State:
Zip Code:

How often you would like to pay for your share
Your discount eligibility
Total weekly share price

Your currently enrolled programs
Your solidarity share
Your one-time tax-deductible donation

Farm Share 2026 Agreement

Member Information:

Pick-Up Information:

Share Information:

Binghamton Urban Farm

Main Street Farms

Wander Creek Farm

Payment Information:

Review Information: