Click here to download application in MS Word

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?

____________________________________________________________________________________

____________________________________________________________________________________


How many logs do you currently manage?

____________________________________________________________________________________

____________________________________________________________________________________

 

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

 

 Please sign and date:

 

Signature:            ______________________________________________________

 

Date:                      ___________________________

 

 
 
  Site Map