Chapter membership is $20 / year
First & Last Name:
2nd Family Member, First & Last Name:
Mailing Address:
City/Town, Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
Phone Number:
Email Address:
Your Nutculture needs and interests
1. If you are already a nut grower, what nuts do you or your organization grow? How much do you grow?
Where is your nut grove?
2. If you want to be a nut grower, what nuts would you or your organization like to grow? How much
would you like to grow? Where do you plan to grow nuts?
3 Are you in the business of nutculture, but not a grower? If so, what is the nature of your nutculture
business?
4. If you are not a nut grower, do not plan to become one, nor wish to be in the nutculture business, what
is your interest in nutculture?
5. ECSONG’s Nuts4Kids is about Nutculture for kids from Kindergarten to Grade 6. If you are interested
in participating, tell us about your kids:
6. ECSONG offers its members many opportunities to volunteer in its programs and activities benefiting both
ECSONG and the member personally. Check off all of the following special interests you have:
7. Now it is your turn! What do you want ECSONG to do for you?
(You may wish to print this form for your records or to mail with your membership dues)
