Virginia Master Gardener Association, Inc.
 Membership Form



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

E-mail delivery of Newsletter? (click if yes)   Access to Membership Roster on VMGA web site?

Please check any committees for which you can volunteer and any skills that you can contribute:
Education Web site skills Communications
Membership Audit / Finance Newsletter
Representative to VMGA    

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)

( )Non-Active

New Auxiliary Member ($12 annual dues for those who were formally active VCE-MGs, are no longer contributing hours, but wish to continue to support VMGA; cannot vote or hold office)
Renewing Auxiliary Member ($12 annual dues)
Sustaining Member ($250 or more; for individuals or businesses interested in supporting the work of VMGA, Inc.; cannot vote or hold office)

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

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

STATE MG COORDINATOR ENDOWMENT FUND:
Make check payable to VT Foundation; add Account #886119 in the memo line.  Mail check to:
CALS Development Office, 216 Hutchenson Hall (0402), Blacksburg VA 24061

Payment Method:  Credit Card through PayPal or Mail Check