Involvement Interest Form
Interested in serving your cooperative on the Board of Directors, Nominating Committee, or Stockholder Advisory Council? Fill out the below and a member of AgGeorgia's staff will be in touch with more information.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
In what areas are you interested in serving? (You may select multiple options)
*
Board of Directors
Nominating Committee
Stockholder Advisory Council
Send
Should be Empty: