P.V.S.B.A. Membership Form - Year 20__

Name(s):                                                                             E-mail:                                                           

Farm Name:                                                                          Phone:                                                           

Address:                                                                                                                                                    

          Enclosed is $10 for our farm/family dues, checks payable to PVSBA

Ideas for Educational speakers/topics:                                                                                                 

                                                                                                                                                                   

 

Return to:

Shawn Thayer
160 Bryant Rd
Cummington MA 01026