VOGA Membership Sign Up Form

Business Name *

Owner Name(s) *

Physical address *

Mail address (if different than above)

Primary phone *

Email Address *

Web site address (include social media addresses, if applicable)

Certification

Inclusion on Directory's map (for listing North Fork Valley members only) Inclusion on Directory's map (for listing North Fork Valley members only) Yes No

Directory description for listing members (5-6 sentences maximum)

Directory's Cross Reference Guide for listing members, check all that apply 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, Cider & Spirits

Are you interested in conducting a farm/ranch tour? Are you interested in conducting a farm/ranch tour? Yes No

VOGA would like to support our farmers/ranchers and pay for the time it takes to be involved in a tour. If hosting a tour, is it important to you to receive financial compensation? VOGA would like to support our farmers/ranchers and pay for the time it takes to be involved in a tour. If hosting a tour, is it important to you to receive financial compensation? Yes No