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Membership Application Form

Become a Member of the Eastern Ontario Agri-Food Network! To view a list of membership benefits, click here.

Add Membership Application Form - Formulaire d'adhésion

Membership Application Form - Formulaire d'adhésion
Business / Organization Name
Contact Person
Language preference
Business Address - Street/Road Name:
Code postal / Postal Code
Téléphone / Telephone
E-mail Address
Facebook Page
2015-2017 Local Food Map
Farm Fresh Logo Usage
Foire Gourmande Food Festival
Newsletter & Weekly News Bites
Nutritional Labelling Services
Interest in Selling Products to Local Schools
Membership is valid from January 1st 2015 to December 31st
Description of Business or Market
Season of Operation
Season of Operation - Other
Hours Open
Days of the Week Open
Photo of Business - Image de l'entreprise
Products - Produits
Ad Sizes & Pricing
Ad Design
Comments - Commentaires

Fields marked with an asterisk (*) are required.