Individual Membership Form
Name
*
First Name
Last Name
Email
*
example@example.com
Are you located in one of our Adirondack Counties? If so, which one?
Clinton
Essex
Franklin
Fulton
Hamilton
Herkimer
Lewis
Oneida
St. Lawrence
Saratoga
Warren
Washington
If not, what county (and state) are you located in?
How do you want to interact with AFSN? (Select all that apply)
Attend bi-monthly member meetings
Join committees as the arise
Receive monthly newsletters
Receive Member specific newsletters
Participate in advocacy campaigns
Attend the Food Justice Summit
Any other thoughts?
Submit
Should be Empty: