Wisconsin Berry Growers Association
MEMBERSHIP FORM
MEMBERSHIP DATA
Please complete your membership information completely and accurately. Information is used for marketing promotion.
Business Name
Name
Mailing Address: City: State: Zip
Farm Location (if different):
Phone: Berry Hotline: Fax :
County E-Mail: Website:
Check berries you grow:
Blueberries: PYO Ready-Picked Raspberries: PYO Ready-Picked Strawberries: PYO Ready-Picked
Other Berries (please list)
MEMBERSHIP CATEGORIES AND DUES
GROWER MEMBERS:
Dues are $75 base fee, plus an additional
$11/bearing acre: $
(Maximum member dues not to exceed $250)
ASSOCIATE MEMBERS:
Industry related company memberships: $80
$
FRIEND MEMBERSHIP: Retired members of WBGA; University & Extension personnel;
Not-for-Profit Ag. Organizations; Trade Publications;
(This membership places you on the mailing list for
fresh Magazine. It is mailed 4-6 times annually: $25 $
VOLUNTARY CONTRIBUTIONS: Donations are not charitable contributions but may be deductible as a business expense.
WBGA RESERCH FUND: (FUNDS GO DIRECTLY TO RESEARCH FUND)
$
WBGA SCHOLARSHIP (FUNDS GO DIRECTLY TO SCHOLARSHIP FUND) $
TOTAL ENCLOSED:
$
PAYMENT INFORMATION
Check payable to: Wisconsin Berry Growers Assn. Please keep your cancelled check as your receipt.
.
QUESTIONS?
Phone the Wisconsin Berry Growers Assn. at 920-478-3852 or e-mail at info@wiberries.org.
THANK
YOU FOR YOUR INVESTMENT IN WISCONSIN’S BERRY INDUSTRY!