Local Hero Enrollment 2021

Local Hero Enrollment

In light of the financial hardships caused by the COVID-19 pandemic, CISA has set up a sliding scale option for membership enrollment for the 2021 season.

If you have questions about the sliding scale, reach out to Dan@buylocalfood.org.

Overview Notes:

Local Hero Membership categories:
Click the category if you would like to review the membership benefits.
- Farmers & Farmer Co-ops - Restricted to businesses that grow, harvest, and market their own agricultural products as more than 50% of their economic activity.
- Garden Centers & Landscape Designers - Restricted to businesses that document significant efforts to purchase and promote locally grown products.
- Institutions - Restricted to businesses that document significant efforts to purchase and promote locally grown products.
- Grocers, Specialty Retailers, Distributors - Restricted to businesses that document significant efforts to purchase and promote locally grown products.
- Restaurants, Cafes, and Caterers - Restricted to businesses that document significant efforts to purchase and promote loaclly grown products.
- Specialty Producers - Restricted to businesses that produce a value-added product where 50% of the ingredient's volume, weight, or value comes from local farms.
Multiple listings:

If you have multiple businesses or multiple business locations and want them all to be listed as members of CISA's Local Hero Program, you can do so. We ask that you refer to the appropriate sliding payscale for your business to determine the enrollment cost of any additional listing.

Click here to see the sliding scales for each category. If you have any questions about how to use the sliding scales to determine your multiple listing payment, contact Dan@buylocalfood.org or call 413-665-7100 ext. 26.
Local Hero Member Renewal & Application Form
Business or Organization Name *
Business type *
Business type (for passing to Airtable)
Are you a new or renewing member? *
Do you have an additional listing? *

Yes No
What's the name of your additional business?
Contact information for CISA communication
How CISA staff can best reach you. For CISA use only.
Contact name (business owner, manager, etc.) *
Mailing address *
Mailing address line 2
Town *
State *
ZIP code *
Phone *
Phone type *
Additional phone
Additional phone type
E-mail *
New members: I was referred to the Local Hero program by:
Website
Facebook
Instagram
Contact information for consumers
Public. This will be added to your online guide listing.

We're asking you to answer these next questions individually, because we know that just a few things might be different for some people (rather than everything being different). We don't want you to have to enter everything twice.
Is your public-facing contact name the same as above? *
Contact name (for public-facing online listing) *
Contact's business role (manager, employee, etc.) *
Is your business's public address the same as above? *
Address for public visitation (please include the type of address as well: farm stand, store, office, etc.) *
Is your public business phone number the same as above? *
Phone (business/public) *
Phone type *
Is your public business email number the same as above? *
E-mail (business/public) *
example@example.com
Farm & Farm Co-op Registration
Do you offer pick-your-own? *

Yes No
If yes, which crops? *
Are you a vendor at any farmers' markets in the Pioneer Valley? *

Yes No
If yes, which ones? *

Amherst Amherst Winter Ashfield Barre Belchertown Bernardston Brimfield Birnie Avenue Market (Springfield) Brightwood Market (Springfield) Chicopee Easthampton Summer Easthampton Winter Florence Gilbertville/New Braintree Go Fresh Springfield Mobile Market Greenfield Greenfield Winter Hampden Hilltown Mobile Market Longmeadow Monson Northampton Saturday Northampton Tuesday Northampton Winter Northfield Orange Shelburne Falls Shutesbury Springfield / Forest Park Springfield / Forest Park Winter Springfield Cooperative Market Springfield Downtown Market Springfield/STCC Market Turners Falls Ware West Brookfield Westfield Wilbraham Grown
Do you have a CSA? *

Yes No
Do you sell wholesale? *

Yes No
Garden Center & Landscape Designer Registration
Institution Registration
Grocer, Specialty Retailer, & Distributor Registration
Restaurant, Cafe, & Caterer Registration
Specialty Producer Registration

Please read the text below to determine your tier eligibility (determine if your business qualifies for tier 1 or tier 2).

Tier 1 - Business Eligibility:

You should join as a business member if at least 25% of your entire product line consists of products containing 50% or more locally grown ingredients or materials. By "contains 50% or more locally grown ingredients or materials", we mean that your product meets at least one of the following criteria:
- 50% of the ingredients volume come from local farms
- 50% of the weight of your ingredients come from local farms, or
- 50% of the value of your ingredients come from local farms
Business members may use the Local Hero logo in general marketing for their business as a whole, in addition to using the logo on any products that meet the 50% criteria.

Tier 2 - Product-Only Eligibility:

You should join as a product-only member if you have individual products that contain 50% or more locally grown ingredients or materials, and these products make up less than 25% of your product line. (See the list above for an explanation of what we mean by this 50% criteria).

Product-only members may use the Local Hero logo on any products that meet the 50% criteria. They may not use the logo in general marketing for their business as a whole.
Select Tier Eligibility *
Below, for the period of April 1, 2021 - March 31, 2022 please provide a list of at least four farms that you purchase from on a routine basis (either directly or through distributors). This can include farms from Franklin, Hampshire, or Hampden counties, MA or from any of the following areas that abut a member’s county including Berkshire County, Windham County VT, Cheshire County NH, Tolland County or Hartford County CT, and the Quabbin Region of Worcester County. Listing at least four farms below is required to be eligible for membership.

CISA reserves the right to contact any of the farms you list in order to verify this information.
Farm One *
Farm Two *
Farm Three *
Farm Four *
Additional Farms
Local Hero Supplies

All members are entitled to an annual starter kit with two rolls each of small/large stickers and a bundle each of small/large price cards. New members also receive one free sign.

Please indicate below if you want your annual starter kit.
I need my annual starter kit of Local Hero supplies this year: *

Yes No
Any comments about your POP kit? (Do you only want part of it, etc.?)
You can order additional supplies here.
You're almost done!

Online guide listing

All Local Hero members get a listing in CISA's online guide.

Your listing is a detailed page that tells customers all about who you are, what you produce and sell, how to find you, events at your business, and much more.

As a new member, CISA staff first has to set up your listing, which we will begin once we have received your application.

To get us started, please include a description of your business in the box below. This will be the overview text a consumer reads when looking up your business. The online guide is also a great way to share up-to-date information regarding COVID-19 hours, restrictions, dining and delivery options with customers.

Don't sweat it too much-- you'll have the opportunity to edit it later on.
You're almost done!

Online guide listing

All Local Hero members get a listing in CISA's online guide. As a renewing member, you already have a listing.

Want to take the time now to edit your listing, so it will be current for customers this year? The online guide is also a great way to share up-to-date information regarding COVID-19 hours, restrictions, dining and delivery options with customers. See here for instructions on how to log in and update your listing.

Don't have time? Tired of filling out this form? Tell CISA what you want changed in the box below, and we'll do it for you. You can also let Dan (Dan@buylocalfood.org) know changes you'd like made at any point during the year.
Online guide listing text:
Online guide listing text : *
We will send you an email with your listing link once it is created.
Payment
Payment
See here for what Bronze and Silver farm memberships include.
Select Farm Membership Type: Bronze or Silver *
This year, CISA is offering a sliding scale for membership fees.
- $40 covers the cost of the POP starter kit.
- $75 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit.
- Those who pay $151 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA and
  your fellow farmers.
Enter the amount you can pay for membership this year. A Bronze membership is $1-$250 (the baseline is $150). *
Must be at least $1 in order for the form to properly submit.
Enter the amount you can pay for membership this year. A Silver membership is $150-$340 (the baseline is $240). *
Payment
See here for what Bronze and Silver memberships include.
Select Garden Center Membership Type: Bronze or Silver *
This year, CISA is offering a sliding scale for membership fees.
- $50 covers the cost of the POP starter kit.
- $150 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit.
- Those who pay $201 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA, farmers, and your fellow businesses.
Enter the amount you can pay for membership this year. A Bronze membership is $50-$250 (the baseline is $200). *
Enter the amount you can pay for membership this year. A Silver membership is $150-$300 (the baseline is $240). *
Payment
Select your Institution's Dining Service Annual Revenue^ *
^If your organization does not calculate Dining Service specific revenue, we will work with you to develop an alternative measure (i.e. meals served).
This year, CISA is offering a sliding scale for membership fees.
- $150 covers the cost of the POP starter kit and networking
  opportunities.
- $500 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit and 1x1 CISA staff assistance.
- Those who pay $1,000 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA and
  your fellow members.
PLACEHOLDER: Institution revenue = less than $2M, fee =$150 *
Based on this Dining Service Annual Revenue, your membership fee is $150.
Enter the amount you can pay for membership this year. The sliding scale fee for your Dining Service Annual Revenue tier is $150-$400. *
Enter the amount you can pay for membership this year. The sliding scale fee for your Dining Service Annual Revenue tier is $400-$800. *
Enter the amount you can pay for membership this year. The sliding scale fee for your Dining Service Annual Revenue tier is $800-$1,100. *
Payment
See here for what Bronze and Silver memberships include.
Select Grocer, Retailer & Distributor Membership Type: Bronze or Silver *
This year, CISA is offering a sliding scale for membership fees.
- $75 covers the cost of the POP starter kit and networking
  opportunities.
- $150 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit.
- Those who pay $251 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA, farmers, and
  your fellow members.
Enter the amount you can pay for membership this year. A Bronze membership is $75-$400 (the baseline is $250). *
Enter the amount you can pay for membership this year. A Silver membership is $150-$450 (the baseline is $350). *
Payment
See here for what Bronze and Silver memberships include.
Select Restaurant, Cafe, & Caterer Membership Type: Bronze or Silver *
This year, CISA is offering a sliding scale for membership fees.
- $40 covers the cost of the POP starter kit.
- $75 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit.
- Those who pay $201 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA and
  your fellow members.
Enter the amount you can pay for membership this year. A Bronze membership is $1-$300 (the baseline is $200). *
Must be at least $1 in order for the form to properly submit.
Enter the amount you can pay for membership this year. A Silver membership is $150-$340 (the baseline is $240). *
Payment
See here for what Bronze and Silver memberships include.
Select Specialty Producer Membership Type: Bronze or Silver *
This year, CISA is offering a sliding scale for membership fees.
- $40 covers the cost of the POP starter kit.
- $75 covers the staff time to maintain the Online Guide
  and execute marketing opportunities as well as the cost of
  the Local Hero starter kit.
- Those who pay $151 or more help subsidize the cost of
  those who are unable to afford the baseline price. If you
  are able to pay more it’s greatly appreciated by CISA and
  your fellow members.
Enter the amount you can pay for membership this year. A Bronze membership is $1-$250 (the baseline is $150). *
Must be at least $1 in order for the form to properly submit.
Enter the amount you can pay for membership this year. A Silver membership is $150-$340 (the baseline is $240). *
MASTER membership level (for passing value to Airtable only)
MASTER Less than $10 check
Enter Local Hero year-end survey code here:
Thanks for filling out the survey! You've earned a $10 credit with CISA. Because you're paying less than $11, this credit will be applied to a future CISA expense. ($11 because the form needs at least $1 in order to submit).
Thanks for filling out the survey! You've earned a $10 credit with CISA.
Would you like to apply this $10 credit to your membership fee today? *

Yes No, I'll save it for a future CISA expense.
Special payment authorization code: (Use only if directed by CISA staff)
Type in the custom amount you will be charged today:
Must be at least $1 in order for the form to properly submit.
*Back-end calculation components only*
$10 credit: member EARNED $10 credit?
$10 credit: member USED $10 credit?
Payment_from_Jotform
LH survey credit - value passer
Payment Calculation (non-authorization code)
FINAL Payment Calculation (auth code & non-auth code)

Final total *

USD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: