Membership term is for one year beginning on January 1, 2022 and expiring
on December 31, 2022. We do offer 2 year memberships for our Grower and
Allied Members. A 15% discount will be extended to those that would like to
pay in advance for their 2023 membership. 2 Year Membership Rates reflect
membership dues for the 2022 & 2023 membership periods.
PLEASE INDICATE YOUR MEMBERSHIP TYPE:
Membership Application
Farms commercially growing
produce. This is the only
membership with voting privileges.
Dues are based on annual gross sales
of the fruit/vegetable operation.
Please notate all employees to be
included on the membership and
their contact information on the
following page.
Businesses that have a nancial
interest in the Georgia fruit and
vegetable industry, but are not
commercial growers; i.e. processors,
brokers, dealers, seed companies,
chemical companies and other
allied business. Please notate all
employees to be included on the
membership and their contact
information on the following page.
Persons engaged in extension, research or teaching who have a viable interest in the produce industry.
Annual Gross Sales from Fruit
& Vegetable Production
Less than $ 500K
$ 500K - $ 2.5M
$ 2.5M - $ 5.0M
$ 5.0M - $7.5M
$ 7.5M - $ 10M
More than $ 10M
Annual Dues
expires 12/31/20
$ 150
$ 500
$ 750
$ 1,000
$ 1,250
$ 1,500
2 Year Dues
expires 12/31/21
$ 255
$ 850
$ 1,275
$ 1,700
$ 2,125
$ 2,550
Rates Include 15% discount
Annual Gross Sales to Fruit &
Vegetable Companies
Less than $ 10M
$ 10M - $ 50M
Over $ 50M
Annual Dues
expires 12/31/22
$ 500
$ 750
$ 1,000
$ 850
$ 1275
$ 1,700
Rates Include 15% discount
2
Year Dues
expires 12/31/23
GROWER MEMBER - (please check the level of annual gross sales below)
ALLIED MEMBER - (please check the level of annual gross sales below)
HONORARY MEMBER - ANNUAL DUES - $25
Commodities Grown: **Crop information may be listed on the GFVGA website and other publications**
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Allied Members: Please describe the nature of your business (products, etc.)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Credit Card payment is also accepted:
TYPE OF CARD:
 
MC
 
Visa
 
Disc
 
AmEx
CARD NUMBER: ______________________________________________________
EXPIRATION DATE: _____________________________________________________
SECURITY CODE: (3 digit number on back of card) _______________________________
NAME ON CARD: _____________________________________________________
SIGNATURE: __________________________________________________________
Dues paid to GFVGA are not tax deductible as a charitable contribution for income tax purposes. However, they may be deductible as ordinary and necessary business
expenses subject to restrictions imposed as a result of association lobbying activities. GFVGA estimates the nondeductible portion allocated to lobbying is 2.31%.
Make checks payable and mail to:
GFVGA
P.O. Box 2945
LaGrange, GA 30241
TOTAL DUE: _______________
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BILLING
Contact: __________________________________ Email: ___________________________________________________
Phone: ______________________ Address: _____________________________________________________________
(if dierent)
FOOD SAFETY
Contact: __________________________________ Email: ___________________________________________________
Phone: ______________________ Address: _____________________________________________________________
(if dierent)
LABOR
Contact: __________________________________ Email: ___________________________________________________
Phone: ______________________ Address: _____________________________________________________________
(if dierent)
COMMUNICATIONS/MARKETING
Contact: __________________________________ Email: ___________________________________________________
Phone: ______________________ Address: _____________________________________________________________
(if dierent)
NAMES AND EMAIL ADDRESSES OF OTHERS WHO SHOULD RECEIVE GFVGA PUBLICATIONS:
Contact: __________________________________ Email: ___________________________________________________
Contact: __________________________________ Email: ___________________________________________________
Contact: __________________________________ Email: ___________________________________________________
Contact: __________________________________ Email: ___________________________________________________
Company: ___________________________________________________________________________________________
Mailing Address: ___________________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________________________
Street Address: ___________________________________________________________________________________________
(if dierent from mailing address)
Oce Phone: ___________________________Fax: ________________________ Cell Phone: _________________________
Primary Membership
Contact: __________________________________________________ Title: ____________________________________
Email: _________________________________________Website: __________________________________________
Counties in which
you operate: ___________________________________________________________________________________________
OTHER CONTACTS FOR YOUR COMPANY (if dierent from primary contact):
Membership Information Form
Georgia Fruit and Vegetable Growers Association (GFVGA)
Office: (706) 845-8200 | Fax: (706) 883-8215 | Toll Free: 877 994 3842 | P.O. Box 2945, 251 S.L. White Blvd., LaGrange, GA 30241 | www.gfvga.org
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