Virginia Master Gardener Association, Inc.
 Membership Form



Name: Date:
Address:
City: State: Zip plus 4:
Home Phone: Email address:

Are you willing to have your newsletter sent to you electronically?

Please check any committee's) for which you can volunteer and any skills that you can contribute:
Education Newsletter Communications
Membership Desktop publishing Audit of Finance
Representative to VMGA Web site skills News reporting skills

Membership Categories (please check desired category)

Active VCE-MG (Trainees, Interns, Master Gardeners, Emeritus Gardeners) or Extension Staff
New Member
($12 annual dues)
Renewing Member
($12 annual dues)
Lifetime
($120 one time payment, as long as active VCE-MG status maintained)

VCE Unit through which you submit volunteer hours (Extension staff please note unit where you work):
Year you completed VCE-MG training:  

Auxiliary Member ($12 annual dues for those who were formally active VCE-MGs, are no longer contributing hours, but whish to continue to support VMGA; cannot vote or hold office)

Sustaining Member ($250 or more; for individuals or businesses interested in supporting the work of VMGA, Inc.; cannot vote or hold office)

Education Endowment Fund
I would like to give an additional $ to go to the MG scholarships. This gift is in honor of:

Master Gardner Coordinator Endowment Fund
I would like to give an additional $ to help endow the Virginia State Coordinator’s position. This gift is in honor of:

Payment Method:  Credit Card through PayPal or Mail Check