PACIFIC NORTHWEST GIANT PUMPKIN GROWERS MEMBERSHIP FORM

To become a member or to renew your membership with PNWGPG, please fill out the following information. Yearly membership runs from March 1st of the current year through the last day of February the following year. PLEASE NOTE: You must be a member for a minimum of 30 days PRIOR to a weigh-off event in order to be entitled club prize money for the event. Please print clearly and fill out the form in its entirety.

Name

Date

Address

City

State

Zip Code

Email Address

example@example.com

(Email MUST be provided. The Main Vine newsletter is sent out electronically via email.)

Phone

Choose a membership type

INDIVIDUAL MEMBERSHIP $30 (member may enter 1 item per category per contest)FAMILY MEMBERSHIP $45 (Two adult family members may each enter 1 item per category per contest.)

Club Seeds Option

Please send me club seeds in the springNo, I don't need any club seeds

How did you hear about us?

Payment can be made via check (payable to PNWGPG) or Paypal for PNWGPG (payable to PNWGPG@yahoo.com)

Select Form of Payment

PaypalCheck being mailed

PACIFIC NORTHWEST GIANT PUMPKIN GROWERS

PNWGPG MEMBERSHIP FORM