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Annual Membership Application Please fill out as completely as possible. Be sure to send
in $10 with your application. We will call you when we have received the money
and application. Name: ___________________________ Address: ___________________________ Phone Number: ___________________________ Cell Number: ___________________________ Email: ___________________________ Website: ___________________________ How
long have you been growing mushrooms? ____________________________________________________________________________________ ____________________________________________________________________________________
____________________________________________________________________________________ ____________________________________________________________________________________ What
types of mushrooms are you interested in growing? ____________________________________________________________________________________ ____________________________________________________________________________________ What
are you expectations of NCMMC? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ If
you are already a grower, please list your regular
weekly customers so we don’t market to them. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Please
tell us a bit about yourself and farm: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Are
you a: Hobbyist Part-time grower Full-time
Grower Will
you be growing: Indoor – sawdust Indoor – logs Outdoor – logs Organic
practices Non-organic
practices Don’t Know Signature: ______________________________________________________ Date: ___________________________ |
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