Community Farming Conference
co-sponsored by the Connecticut Agricultural Experiment Station, CT NOFA and the Mercy Center.
At the Mercy Center, 167 Neck Road, Madison, CT
February 10, 2007 - 8:30 am - 3:00 pm

The conference costs $30 for NOFA members and $40 for non-members. Fee includes lunch.

Please print this page in landscape mode (either before or after you fill it out)
and mail it with payment to the address below. Thank you!

Name Member Non-Member

Name

Member Non-Member
Name Member Non-Member

Organization


Address
Town, State, Zip
Telephone
Email

$30 each NOFA Member
Individual Membership - $35
$40 each Non-Member Family Membership - $50
  Student/ Senior Membership - $25
  Working Membership - $20 plus 5 hours Volunteer Work
  Business/ Organizational Membership - $100
Additional Contribution for Scholarship: $ Supporting Membership - $150

Total Amount Enclosed: $

Interest Survey - Please check all that apply:

1. I am a:
Farmer
Gardener
CSA Member
Farmer's Market Supporter
Other

2. I would be interested in participating in:
On-Farm Practical Skills Workshops
Home Organic Garden Workshops
Home Organic Landscaping Workshops
Planning Committees for CT NOFA Events
Other

How did you hear about the Community Farming Conference?

Send printed form (with check) to:
CT NOFA, Box 164
Stevenson, CT 06491-0164