Application Form

Please print, fill in, sign and send this application form with payment to:

Queen Mab’s CSM

PO Box 314

Furlong, PA 18925

tishstreeten@gmail.com

518-461-3631.

If you are paying by check, please enclose a check for the share size of your choice.

If you are paying through PayPal, please go to Join Now and then send, e-mail or text application form.

If you are paying with Venmo, pay to @Tish-Streeten, and then send, e-mail or text the application form.

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Queen Mab's Herbs & CSM