Vermont Community Garden Network · Membership Enrollment Form

Type of Membership *

Please review membership levels and select from our following tiers of membership.

Is this a new or renewing membership? *

New

Renewing

Contact Information

Name *

First Name

Last Name

Garden Name (if applicable)

School Name (if applicable)

Business Name (if applicable)

Email *

Verify Email *

Phone *

Birthday (month and day)

Mailing Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Physical Address (if different from mailing)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Were you referred for VGN membership by a VGN member?

Yes

No

If yes, which member referred you for membership? (first & last name)

Amount *

$40 - Individual Membership

$25 - Student & Senior Membership

$75 - PreK - 12 School Membership

$75 - Garden Membership

$120 - Business Membership

$0 - I will mail a check!

$0 - BIPOC Individual membership

If paying by check, in the space below type "sending check" and indicate which membership level you're choosing.

Once your form is complete be sure to click the "Enter payment information" button (even if you're paying by check).

If paying by check, mail to:

Vermont Community Garden Network
PO Box 713
Essex Junction, VT 05453