Membership Application

This Application is the first step toward ownership in Poudre Valley Community Farms, a Land Cooperative. The Board of Directors will use your responses to prepare the appropriate Membership Agreements for you to review and sign.
If this membership is for someone under the age of 18, please fill the name/last name out for that person. We will ask for details about the Agent who is filling this out on their behalf in another section of the application.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email
Phone
Are you a resident of Larimer County?*
- Yes
- No
Is the person above over 18 years old?*
- Yes
- No
Is the above named a Colorado resident?*
- Yes
- No
Who has been your main point of contact throughout this process?

I am interested in the following volunteer opportunities with PVCF
- Expanding property and farmer portfolio
- Strategic planning
- Event and membership outreach
- Promotion and community awareness
- Board of Directors/governance
Many of our members have expressed interest in contributing additional capital on behalf of their household, or as a gift to another household, to further the mission of PVCF. Each of the persons named as recipients of Additional Memberships ($2,500 each) will receive an email asking that they complete this Application. We will include all the Additional Memberships on your invoice. Additional Memberships must be paid in full, installment plans are not available.*
- Request additional membership(s)
- No additional memberships
PVCF has my permission to include this member on its online or print listing of PVCF members?*
- Yes
- No
Additional Memberships
First Name Last Name Person's Email Lives in your household? If under 18, full name of Agent

Poudre Valley Community Farms

First Name	Last Name	Person's Email	Lives in your household?	If under 18, full name of Agent