NHVBGA Application


Membership Application

Name: _______________________________
Farm or Business Name:________________________________

( __ check if this is an address change)

Address: __________________________________
Phone: ____________________________________
Email: ____________________________________

Would you prefer to receive materials:

___ in the mail   OR  ___ via email

Please check the option that applies to you:

___ grower or farm membership ($35/year)
___ vendor business membership ($75/year)

Please check if you are interested in either of the following:

___ a Board of Directors position within NHVBGA
___ hosting a twilight meeting or farm tour

Please let us know if you have not already received and would like a copy of:

___ the current Vegetable pest management guide
___ the current Small Fruit pest management guide

Please make check payable to NHVBGA and mail to: Chip Hardy, NHVBGA Secretary, c/o Brookdale Farm, PO Bo 389, Hollis NH 03049.