CT NOFA Join Form - Print Friendly Version

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

Name
Organization/ Company
Address
Town/City
State
Zip Code
Telephone
Email Address

Membership options:
Working - $20 plus 5 hours volunteer work
Student - $25
Senior 65+ - $25
Regular Membership - $35
Family - $50
Business/Institutional - $100
Supporting - $150
Lifetime - $1,000

Additional Contribution: $
Any person for whom the cost of membership is a hardship can apply for a scholarship.

Interest Survey
Please check all that apply:

1. I am a:
Gardener
Farmer
Business
Concerned Citizen
Educator
Landcare Professional
Other

2. I’d like to participate in:
Certification
Conferences/Education
Publications
Legislative
Publicity/Membership
Community Supported Agriculture

How did you hear about CT NOFA?

Send printed form (with check) to:
CT NOFA, Box 164
Stevenson, CT 06491-0164
(203) 888-5146