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34

PNVA MEMBERSHIP DIRECTORY 2016-2017

2017 Pacific Northwest Vegetable Association

MEMBERSHIP FORM and

DIRECTORY INFORMATION REQUEST

SECTION 1:

Company Name:

Contact Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Grower Packer Processor Shipper Vendor

SECTION 2: COMMODITY INDEX

(Grower Only)

MARKET: State National International

CROP SOLD AS: (*) Organic (P) Processed (F) Fresh Market

Asparagus

Beans

Broccoli

Cabbage

Carrots

Cauliflower

Celery

Corn

Cucumbers

Lettuce

Melons

Mushrooms

Onions

Peas

Peppers

Potatoes

Tomatoes

Zucchini

Others (describe)

SECTION 3: SUPPLIERS INDEX

Mark the primary item you sell.

Chemical/Fertilizer Sale

Computer/Software

Harvesters/Tractors/Planters

Horticultural Supplies

Irrigation Equipment

Packing/Packaging Equipment

Communication Equipment

Refrigeration Equipment

Sprayers

Precision Farming

Vegetable Seed

Others (describe)

SECTION 4: VEGETABLE BROKER INDEX

Please list products

RETURN WITH YOUR MEMBERSHIP APPLICATION AND CHECK TO: Pacific Northwest Vegetable Association

100 N. Fruitland, Ste. B, Kennewick, WA 99336 • 509/585-5460 • Fax 509/585-2671