Missouri Vegetable Growers
Association Membership Application

Farm name: _________________________________

Name: _____________________________________

Address: ___________________________________

City: ________________ County: ________________

State: ___________________ Zip: _______________

Home phone: ________________________________

Work phone: ________________________________

E mail _____________________________________

Check as appropriate:
_____ Marketer _____ Grower _____ Greenhouse

_____ University/Government _____ Associate

Above 5 categories $10.00 per year.

( ) Corporation. (Any firm or business engaged in marketing or selling products or services to vegetable growers.) $100.00 per year plus get to put a copy of your business card in all newsletters of MVGA.

Major crops Grown:
___________________________________________
___________________________________________

Topics you would like to see presented at the MVGA meeting:

Send complete form with check a check made payable to MVGA to:
Norman Kilmer
18761 Kelsay Rd
Barnett, MO 65011-3009