Membership Request

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Membership Request - STEP 1

Thank you for your interest in our private food buying membership club! We are currently accepting new members! Please fill out the form below to start the membership process. You will hear back from a team member as soon as possible.

Did someone refer you to the Green Hills Nova website? *

Yes (please put their name below in OTHER)

No (how did you hear about us then, please reply in OTHER)

Other:

Required

Are you interested in dairy products? If so, for what purpose? *

What other items are you interested in purchasing? Check all that apply. *

Grass-fed beef

Pasture-raised poultry

Pastured-raised pork

Artisan goods (sourdough breads, granola, honey, fermented beverages, etc.)

Organic produce

Other:

Required

Are you willing to fill out & sign a private contract with the farmer in order to purchase goods? Please note: IF NO, your membership inquiry will be void and you will not be contacted. *

Yes

Contact info

Please provide your information so our Membership Coordinator can contact you. They may ask additional questions with this inquiry. Thank you for your patience with our formal membership process in order to get you these healthy and delicious foods!

Your name *

BEST Phone number (we'll only call to verify information) *

Most looked at E-mail *

THANK YOU!

Once submitted, we'll be in contact with you to start the approval process. This is NOT the approval/application form, it's only an inquiry about Green Hills Nova food co-op. Please note: You are NOT approved to order from our website until you complete the application sent by the coordinator after she sends you some questions. Thank you, we'll be in touch shortly with your next steps!

*Please check your spam folder if you do not receive a response in 48 hours.

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