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VOGA On-Line Membership Form

_Fill in the appropriate fields to become a VOGA member. Required fields are marked with a red asterisk.

The last field refers to VOGA's member-only Yahoo Group list serve. This will be an email-based list serve and will be used for buying, selling, trading, sharing ideas, asking questions and the like. Enter a valid email address if you are interested in participating.

Once you submit the form, you will be taken to a page that will request payment.

Thanks for becoming a member!!

Business name *

Owner name(s) *

Physical address *

Mail address (if different than above) *

Primary phone *

Email address *

Web site address *

Certification *

Inclusion on Directory's map (for listing North Fork Valley members only) *

Yes No

Directory description for listing members (200 word maximum) *

Directory's Cross Reference Guide for listing members, check all that apply *

Biodynamic Certified Naturally Grown Certified USDA Organic Cheese Community Supported Agriculture (CSA) Farmers Market Participant Fruit Grains & Feed Grass Fed Meats Herbs & Flowers Honey Interns/Apprentice Programs Lodging Meat, Poultry & Eggs Milk Shares Nursery Plants Organization Retailer Specialty Products Vegetables Wine

Enter email address for Yahoo Group list serve *

Submit