HCGA Membership
Help us get to know you better. Please fill out and submit the following membership application questionnaire, and a staff person will contact you for a phone or in person meeting to answer your questions.
Email address *
Business Name *
Your answer
DBA or LLC *
Your answer
Applicant Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Mailing Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
What membership level are you interested in? *
What is your reason for joining HCGA? *
Your answer
What license type(s) is your business seeking? *
Your answer
What region/jurisdiction is your farm/business located? *
Your answer
Please Sign and Date
Please type your name and date into the form below. In doing so you are acknowledging that the following form has been submitted by the signing party.
E-Signature / Date *
Your answer
Member Questionnaire
The questions below help us to know how to serve our members better. Your answers do not affect your application, nor are they required, but they are valuable to us so please take a moment to fill out the following questions. Thanks!
How did you find HCGA?
If you were referred, who referred you?
Your answer
Would you be interested in participating in the following:
Submit
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