NOFA-NH Membership Form
Online payment
Name
*
First Name
Last Name
Email
*
example@example.com
Confirm Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
NOFA-NH Membership Status?
*
I am a renewing member
I am a new member
So we might know our members better, please select all that apply:
Certified Organic Farm/Farmer
Organic Food Processor
Organic Food Supplier
Commercial Grower
Gardener/Home Grower
Land Care Professional
Retail Business
Non-Profit Organization/Management
Educational Institution/Educator
Food Service
Herbalist
Permaculturalist
Organic advocate/consumer
Other
Member Benefits
Please select which benefits you would like to receive and how.
We would like to send you a NOFA-NH bumper sticker as a thank for your membership:
*
Yes, send me one please!
No thank you, I am all set with bumper stickers.
You will receive a subscription to the 'The Natural Farmer' as a benefit of your membership. Quarterly issues will be mailed to you via USPS mail unless you indicate otherwise:
No thanks, I will read it online (available 3 months after printing.
We would like to thank you for your membership publicly but we want your permission to do so:
*
No thanks, please do not publish my name or business name
Yes, I permit NOFA-NH to list my name or business name or to provide a hyperlink to my business website in the NOFA-NH E-Newsletter, website or annual report.
If you answered yes to the questions above, please provide your name or business name as you would like it to appear. Please also provide any links to webpages.
Membership Selection and Payment
Please select the membership of choice and use the card fields below to complete the transaction. You will be sent a confirmation of your membership. If you do not receive a confirmation please reach out to info@nofanh.org
Registration
*
Categories:
All
All
Membership Level
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Membership Level
Standard Membership
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Student/Senior Membership
Available to currently enrolled students and people 65 years and over
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Scholarship Membership
Available to limited-income community members and anyone experiencing financial hardship
$
20.00
Quantity
1
2
3
4
5
Add on
NOFA-NH Member Metal Sign (12"x24")
Includes shipping
$
55.00
Quantity
1
2
3
4
5
Donate
$10 donation
If you would like to further support NOFA-NH you can add a donation to your registration.
$
10.00
$25 donation
If you would like to further support NOFA-NH you can add a donation to your registration.
$
25.00
$50 Donation
If you would like to further support NOFA-NH you can add a donation to your registration.
$
50.00
$100 Donation
If you would like to further support NOFA-NH you can add a donation to your registration.
$
100.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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