ASSOCIATE MEMBERSHIP APPLICATION
If you are not a grower but have a stake in the Michigan Blueberry industry and want to get involved or stay informed, please complete the form below. Annual Associate membership dues are $350.00 with the fiscal year beginning January 1st.   Note that all MBBAC related news, announcements, and invoices will be sent via e-mail; please ensure the e-mail provided is valid. Thank you! 
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Email: *
Farm/Business Name(s): *
Name of Owner(s)/Primary Contact: *
County(ies) of Farming Operation(s), if applicable:
Mailing Address: *
Business Phone Number *
Alternate Phone Number
E-Mail *
Yes, I want to join/continue my membership with MBBAC (and/or want to contribute to the MBBAC) and will mail my dues/contribution in the form of a check or money order made payable to "MBBAC" in the amount of $350.00 to PO BOX 235, Grand Junction, MI 49056 within 30 days of completion of this form.
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Date of Application *
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