NOFA-NH Gift Membership Form
Online payment
Your Information
Please add your information to this section
Name
*
First Name
Last Name
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
Any note you would like to send with your gift membership (Not Required)
Would you like us to notify the gift recipient that you are gifting it to them?
*
Yes, tell them it is from me
No, please make it anonymous
Member Information
Please add the information of the person receiving the membership
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
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
Add on
Donate
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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.
Submit
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