This is a membership application to join The Kentucky Blueberry Growers Association, Inc. Complete this form in its entirety and submit it to The Kentucky Blueberry Growers Association, Inc. It is important you understand The Kentucky Blueberry Growers Association, Inc. is a for profit corporation, any products offered for sale may be for its own profit.
The KBGA was started to help blueberry growers. The intention of The KBGA is to promote, support, advise, provide information about such things as grant programs, marketing, supplies, equipment, plants and many other concerns and requirements of new and experienced blueberry growers.
Members should bear in mind that the entire Industry may be judged by the work and behavior of one member. You owe it to yourself and other members to be sure you present yourself and the industry in a professional manner.
Once you are approved as a member you will be entitled to
Member discounts on KBGA products such as packaging. Assistance in advertising and marketing your crop. The KBGA Newsletter, published as new information becomes available. Access To Member meetings and events. Access to services being offered and developed by The KBGA. Access to equipment owned by The KBGA. The enjoyment of fellowship with persons of like mind.
Important instructions: If any of the questions or requested information applies to you they must be answered.
Please PRINT CLEARLY, if we cannot read your printing we cannot process your application.
Blueberry Grower : one time application fee of $25. No annual dues at this time.
Other industry related business : annual fee of $25 due on January 01 of each year entitles you to one business card size advertisement in each issue of the Newsletter and on the KBGA web site. This dues is paid on the honor system.
We reserve the option to approve or not any applicant for any reason. You will be notified
If your application is not approved your check will be returned.
We reserve the right to remove from membership any member at any time for any reason. Additional information :
please circle Y-yes or N-no to each question and provide information as asked.
1. Are you a fruit grower Y or N
1a. If you answered yes to question # 1 please indicate how many bushes you have planted in the ground _________.
2. Are you a blueberry nursery grower Y or N
2a. If you answered yes to question # 2 please indicate on a separate sheet of paper the blueberry varieties you grow.
3. Do you offer U-Pick Y or N
4. Do you offer Farm Fresh Y or N
5. If you answered yes to either questions # 3 or # 4 do we have your permission to make your information available to the public Y or N
6. Are you a supplier of packaging, equipment, other industry materials Y or N 6a. If you answered yes to question # 6 please indicate on a separate sheet of paper or include a brochure, item and price list of your industry related products. 7. Other : If you are a non industry related business please indicate your business type. ___________________________________________________
By filling in, signing, and sending in to the Kentucky Blueberry Growers Association, I understand I am applying for membership in said association. I understand that my membership application costs, at this point, $25.00 per year. I understand that the KBGA is a for profit corporation, and any offer of products available for sale now, and in the future may be for its own profit. It is the intention of the KBGA to promote and support, as much as possible, the blueberry industry as a whole, and its growers in the state of KY and surrounding areas. The purpose of the KBGA is to organize blueberry growers and provide as much information and assistance to them as possible. The KBGA is a source for information and potential assistance on grants, marketing, supplies, equipment, and concerns of new and existing blueberry farmers and growers.
I hereby apply for the membership designation indicated above. My signature below signifies that I understand and have fulfilled all qualifications for my membership. Furthermore I understand the KBGA reserves the option to approve or not any applicant for any reason. You will be notified by mail. If your application is not approved your check will be returned.We reserve the right to remove from membership any member at any time for any reason.
Applicants Name : ________________________________________________________________
Farm/Nursery Name : _____________________________________________________________
Other Business Name : ___________________________________________________________
Address : ___________________________________________________________________
City : ___________________________________________
State : _____________________
Zip : ______________________
County : _________________________________________
Country if other than US : ______________________________________________________
Telephone Home : _______________________________________________
Telephone Business : ____________________________________________
Cell Phone : ____________________________________________________
Email address : _________________________________________________
Fax : __________________________________________________________
Web Site : _____________________________________________________
Signature : _____________________________________________ Date : ___________________
If any of the above questions or requested information applies to you please answer. Your information will not be shared with anyone without your permission.