Name:       

Address:    

City:              State:     Zip: 

Telephone    xxx-xxx-xxxx

Email:       

I would like to help the GA chapter in the following ways (check all that apply)

  Telephone Tree       Mailing     Article Writing       Field Work        Events, Fairs

  Public Speaking       Newsletter     Membership   Publicity        Fund Raising   

I am available (check all that apply)

   Weekdays        Evenings     Weekends        On short notice (pollination, harvest)

I have experience/expertise/interest in the following areas: