Upper Midwest CRAFT / Region 1

CRAFT Membership Form

_____ YES! I want to join or renew for the Upper Midwest CRAFT Network!

Enclosed is my membership fee entitling me to:

R Free admission to all CRAFT Field Days

R A weekly subscription to the CRAFT newsletter

R Access to CRAFT member listserv

R A copy of the CRAFT Handbook

R Discounted rates to Angelic Organics Learning Center and Michael Fields Agricultural Institute-sponsored Workshops

Membership Level

Friend of CRAFT membership……………………. $65.00 $______

CRAFT Farm membership….……………………....$45.00 $______

Farm Name: ______

CRAFT Farms may purchase additional memberships for interns,

trainees, employees or additional household members for a reduced

rate of only ……………………………………….…………………$10 each $______

Please accept my gift in the amount of:

q $25.00 q $50.00 q $75.00 q $______$______

Total enclosed: ….……………………...... $______

CRAFT Member 1 (Required Information)

The following information WILL NOT be published. Statistical and demographic information is shared with our program funders only. You can view our privacy policy at www.learngrowconnect.org/privacy

First Name: ______Last Name: ______
Address: ______Apt/Suite #: ______

City: ______State: ______Zip Code: ______

Email: ______Home Phone: ______Cell Phone: ______
(If applicable) My farm address is the same as the address listed above: ¨ Yes | ¨ No

If you have answered “no”, provide your farm address here:

Farm Address: ______

City: ______State: ______Zip Code: ______

Gender: ¨ Male | ¨ Female | ¨ Other

Age: ¨ 12-17 | ¨ 18-25 | ¨ 26-35 | ¨ 36-45 | ¨ 46-55 | ¨ 56-65 | ¨ 65+

Have you completed the Stateline Farms Beginnings course? ¨ Yes | ¨ No

In what year did you complete the Stateline Farms Beginning Course? ______

Land Arrangement (If applicable):

¨ I own land | ¨ I lease land | ¨ I own and lease land | ¨ I use land that I do not own or lease

In what COUNTIES and STATES do you own or lease land? ______

Total acres owned/managed/leased, etc.: ______
Total acres OWNED: ______

Total acres in PRODUCTION: ______

Total acres LEASED FROM others: ______

Total acres in land conservation easement (Land Trust): ______

Do you follow sustainable practices?: ¨ Yes | ¨ No

Total acres using sustainable practices: ______

Total acres using conventional practices: ______

Why did you decide to join or renew your membership in CRAFT this year? ______

Do you have any suggestions for a Field Day? If so, on what subject(s)? ______

CRAFT Member 2

The following information WILL NOT be published. Statistical and demographic information is shared with our program funders only. You can view our privacy policy at www.learngrowconnect.org/privacy

If you will include two people in your CRAFT membership, what is the relationship between you and the 2nd member? ¨ Spouse/Partner | ¨ Working/Professional | ¨ Other/Family | ¨ Other/Friend

First Name: ______Last Name: ______

My home address is the same as the address provided by CRAFT Member 1: ¨ Yes | ¨ No

If you have answered “no”, provide your home address here:

Address: ______Apt/Suite #: ______

City: ______State: ______Zip Code: ______

Email: ______Home Phone: ______Cell Phone: ______

Gender: ¨ Male | ¨ Female | ¨ Other

Age: ¨ 12-17 | ¨ 18-25 | ¨ 26-35 | ¨ 36-45 | ¨ 46-55 | ¨ 56-65 | ¨ 65+

Land Arrangement:

¨ I own land | ¨ I lease land | ¨ I own and lease land | ¨ I use land that I do not own or lease

Why did you decide to join or renew your membership in CRAFT this year? ______

Do you have any suggestions for a Field Day? If so, on what subject(s)? ______

Employee/Intern(s) (first name, last name and email are required for all employee/intern signups) (an additional $10 per employee/intern entered)

Employee/Intern #1
First Name:______Last Name: ______
Email: ______

Employee/Intern #2