- Colorado Fruit and Vegetable Growers Association

2015 Membership Application
Name:__________________________________________
Date: _____________________
Company/Organization:________________________________________
Mailing Address:_____________________________________________ City:___________________ State:______ Zip:______
Physical Address:____________________________________________ City:____________________State:______ Zip:______
Telephone:_______________________ Email (primary voting member): ____________________________________________
Website:___________________________________________________
Grower and Allied Members, option to list other emails for your organization (up to 3 will receive member emails):
Name: _____________________________________
Email: ___________________________________________________
Name: _____________________________________
Email: ___________________________________________________
Name: _____________________________________
Email: ___________________________________________________
Please indicate membership type (select one):
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Grower Member – (please check the level of annual gross sales below)
Any person, partnership, corporation or other entity with office or facilities located within the state of Colorado engaged in
growing vegetables and fruits for commercial purposes
Annual Gross Sales Determines Annual Dues Owed (each Grower Member has one vote)
 $300 - Annual gross sales over $500K
 $200 - Annual gross sales $100K-$499K
 $100 - Annual gross sales under $100K
Allied Member
Any person, partnership, corporation, or other entity with a financial interest in the commercial vegetable and fruit
industry in Colorado. Allied members have the right to vote.
 $300
Partner Member
Any person with a collaborative interest in CFVGA that is an employee of CSU Extension, research, teaching and/or other
higher education institution or an employee of any government entity that is involved in exemplary contribution to the
commercial vegetable and fruit industry in Colorado who pays the annual membership dues and is approved for
membership by the Board of Directors or its designee shall be a Partner Member.
 No cost in 2015 (Partner members do not have voting privileges)
General Interest Member (GIM)
Any person that does not qualify for any of the above membership categories, who is approved by the CFVGA Board of
Directors for their inclusion into this category and who pays the annual membership dues. General Interest Members have
no direct financial interest in fruit and vegetable production but would like to stay informed about the Association
Activities and assist the CFVGA achieve its mission in Growing Resources and Cultivating Success for Colorado fruit and
vegetable farmers.
 $25 (GIM do not have voting privileges)
Total due: $________________
**See Page Two for Pay to and Mail to Info**
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Payments to Colorado Fruit and Vegetable Growers Association are not deductible as charitable contributions for federal
income tax purposes. However, they may be deductible under other provisions of the Internal Revenue Code.
Make checks payable and mail to:
Pay to: “CFVGA”
Mail to: Vickie Root
PO Box 2255
Loveland, CO 80539
Internal use only
Received:
Payment status:
Member status:
Confirmed as member (date):
Notes:
Questions? [email protected]
970-667-4949 (office)
720-306-2878 (fax)
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