MEMBERSHIP APPLICATION Prefer to use a paper application? Click here to download one. Name Farm or business name Mailing address Town/region State Choose One:Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Zip code Email address Telephone Website Membership Level (choose one) Full Membership ($25 dues) Qualifications: open to any adult who uses pasture and grazing in the production of food for personal consumption or for sale; or whose business or employment involves providing information or material support to those who utilize pasture. Supporting Membership ($25 dues) Qualifications: open to any adult or company who philosophically supports the goals of Granite State Graziers but is not otherwise eligible for full membership. Youth Membership ($5 dues) Qualifications: open to any minor, 17 years of age or less at the beginning of the dues year, who has parental permission to join, and wishes to obtain information about or experience in the use of pasture and grazing in the production of food for personal consumption or for sale. Youth membership applicants: please include a signed letter from your parent or guardian indicating that you have permission to join Granite State Graziers, and stating your date of birth. Your annual dues support the Granite State Graziers’ outreach and education activities, and entitles you to a discounted rate for admission to the annual grazing conference, and a subscription to our e-newsletter. Full members are eligible to vote in elections. Other benefits may be set by the board, and you’ll be notified by the newsletter. Dues are payable on Oct. 1, and memberships expire on Sept. 30 of the following year. Thank you. Please contact me about a free listing for my farm on the Granite State Graziers website. Reason for joining How did you hear about us? Robot Barrier (Required) Enter (below) the number between 902 and 904 « Back (Returns you to the first page of this form, without forgetting what you entered here) Species Raised (check as many as apply) Cattle Bison Sheep Goats Deer Or Elk Swine Laying Hens Meat Chickens Turkeys Waterfowl Horses Camelids Other Total farm acres (owned or leased) Number of acres of pasture owned Number of acres of pasture leased My animals or products are sold (check as many as apply) Via comodity sales (eg: livestock auctions, milk truck) As breeding stock Direct to consumer to shops or restaurants with value added (eg: cheese, smoked meat products) through a CSA, subscription, or other pre-paid program No sales; for household use only Other Next Oops! Membership level is requried. Please choose above.