WBGA Member Registration

WBGA Member Registration
Date

MonthDayYear
Date
Contact Name

First NameLast Name
Business Name
Please put N/A if not applicable.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Farm Location (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number

Area CodePhone Number
Hotline/Other:

Area CodePhone Number
County
Email
example@example.com
Website
Facebook
Twitter
Check here if you DON’T want to be listed on WBGA website or promotional materials.
BlueberriesStrawberriesRed RaspberriesPurple RaspberriesBlack RaspberriesSummer Bearing RaspberriesGooseberriesCurrantsOther
Dues are $100 base fee, plus an additional $11/bearing acre - Maximum member dues not to exceed $250
Bearing Acres
Member Fee Due
Associate Member: $125 - Industry related company membershipsFriend Members: $25 - Retired members of WBGA; University & Extension personnel; Not-for-Profit Ag. Organizations; TradePublications; (places you on the mailing list and Fresh Magazine)
EducationalResearchMarketing
Rack CardPost CardWebsiteSocial MediaWord of MouthOther
Total Fees Due
Discount Applied

A $20.00 Conference Discount has been applied to your total.
Mail PaymentPay Online
Checks Payable to:
WBGA

Mail to:

WBGA
1255 S Westhaven Dr,
Oshkosh, WI 54904

Email:
info@wiberriesandveggies.com

Phone:
608-692-2748
Credit Card Calculation