US Hop Grower Membership Application...

Thank you for your interest in Hop Growers of America, Inc. Your US Hop Grower membership in the organization will provide a subscription to HOP NEWS, the industry’s regular publication, information regarding the annual American Hop Convention, and other industry updates as well as access to the Member area of the USA Hops website (you will need to submit a request for a user name and password from the log-in page).
Please copy this form into an e-mail and send to:
OR, print and fax to: +1 509 457 8561
OR mail to:
Hop Growers of America
PO Box 1207
Moxee, WA  98936   USA
Two US Hop Grower membership levels are offered (please mark one):
(      ) Individual ($100 per year)            
(      ) Farm ($250 per year) - provides access to the above-listed items for up to 3 individuals involved in your farming operation.
Name: ___________________________________________________________
Farm: ____________________________________________________________
Additional names for Farm membership: _________________________________ 
Address: _________________________________________________________
City/State/Zip: _____________________________________________________
E-mail address(es): _________________________________________________
Telephone: _____________________________ Fax: ______________________
Number of acres by variety of hops under cultivation: ______________________

***All correspondence will be sent electronically***

         Check enclosed, payable to Hop Growers of America
          Please charge my VISA or Mastercard:
          Credit Card #: _________________________________ Exp. Date: ______
                                                                                   Card Validation Code: ______
          Signature: _____________________________________________________ 

Hop Growers of America does not discriminate on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, or marital or familial status.