Online Membership Form for NCMGA Name*FirstLast Farm/Company/Institution Email* Mailing Address City, State, and Zip Code Physical Address, if different Phone # 1 Phone # 2 Website Please check all that applyNew MembershipRenewal MembershipGrower/ProducerWineryResearch/ExtensionStudentSupplier/services Home GardenerOther Would you like to be included in the NCMGA website directory? (see https://www.ncmuscadinegrape.org/business-directory/)YesNoNot sure If you are a grower, what varieties do you raise? How many acres do you have in muscadine production? Additional comments or information How are your grapes sold or used? Check all that apply.Process in our own winerySell to wineries/breweriesSell U-PickSell retail (on-farm, farm stand, farmers market)Sell wholesale to stores, shippersSell to processors (medicinal, cosmetic, etc)other Membership Dues *Member ($50)Associate Member (suppliers/services, supporter) ($150)Student/Extension ($25)SubmitReset
