Farmer's Watershed Alliance Membership Application

Voting Members: ____ Dairy Farm (one voting member per farm) Non-Voting Business Supporters: ____ Gold Sponsor ____ Silver Sponsor ____ Bronze Sponsor Non-Voting Supporters: ____ Government affiliate & non-profit orgs. ____ Individual

$100/yr $1000+/yr $500/yr $250/yr $50/yr $25/yr

Name (s): ___________________________________________

Business Name: _______________________________________

Address: ____________________________________________

City, State, Zip: _______________________________________

Phone: _____________________________________________

Email: ______________________________________________

Signature: ___________________________________________

Please check the box if you are interested in receiving agronomic support (farm assessment & nutrient management planning) from the Farmer's Watershed Alliance.

Make Checks Payable to:
Farmer's Watershed Alliance

Mail to:
Heather Darby
278 S. Main St
St. Albans, VT 05478


Welcome and Thanks for Joining!