2010 Massachusetts Local Food Registration

Thank you for your interest in becoming a member of Massachusetts Local Food. Massachusetts Local Food customers and producers are interested in local foods and products produced with sustainable practices that demonstrate good stewardship of the environment. To become a member, please read the Terms of Service, and then complete the following information and click submit.

If you are already a member, please sign in here. Otherwise fill out the form below to become a member.

Section 1: General Information

First Name:
Last Name:
First Name 2:
Last Name 2:
Business Name:

Section 2: Contact Information

Address:
Address 2:
City/State/Zip:
County:
Do Not Send Postal Mail:
Work Address:
Work Address 2:
City/State/Zip:
Home Phone:
Work Phone:
Mobile Phone:
FAX:
Toll Free:
Email Address:
Email Address 2:
Home Page:

Section 3: Access Credentials

Username:
Enter the word:

Human validation text
Password:
Confirm:

Section 4: Membership Type

Membership Type:

A regular membership costs $50.00 for a one-time share fee

Section 5: Additional Information

How you found us:
Please give detail:
(What website, from whom, which publication/date, etc.?)

YES! I'm interested in volunteering to help Massachusetts Local Food.

I acknowledge that I have read and understand the Massachusetts Local Food Terms of Service statement.

I am interested in becoming a producer member for Massachusetts Local Food.

In this section

How to Join

Producer Procedures

Registration