New Business Member Application

Thank you for your interest in becoming a member of the Champlain Valley Farmer Coalition. Please submit the application below. Your application will be reviewed at our next board meeting (the first Wednesday of each month). We will be in touch to confirm your membership’s acceptance and send you an invoice for payment.


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Email *
First Name *
Last Name *
Business Name *
Street Address *
Town/City *
State *
Zip *
Phone Number *
How did you hear about the Champlain Valley Farmer Coalition? *
Why would you like to become a member of the Champlain Valley Farmer Coalition? *
We are excited to become a member of the Champlain Valley Farmer Coalition at the following level: *
Required
Statement of Membership: As a member of this organization, I acknowledge and support the goal of implementing innovative agricultural practices that enhance water quality, soil health, climate smart farming, and farm economic resiliency in the Champlain Valley. *
Required
A copy of your responses will be emailed to the address you provided.
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