2024 Membership Application

Contact Information
Business Name*
Primary Contact Name*
First Last
Primary Contact Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Website or Social Media page
EIN Number
Secondary Contacts
Name Email Address

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Member Type
What is your involvement in hops?*
- I/we grow hops in Michigan.
- I/we grow hops, but not in Michigan.
- I/we are interested/involved in the hop/beer industries.
How many total acres do you grow?*
Please enter a number greater than or equal to 0.
Annual Membership Fee - "Grower Member" with more than 1 acre planted*
- 250
Annual Membership Fee - "Grower Member" with 500 plants to 1 acre planted*
- 150
Annual Membership Fee - "General Member" (Industry Resources, Brewers, Backyard Growers, Hop Enthusiasts)*
- 75
Annual Membership Fee - Additional Contributions (first instance)
Multiple members at each level have shared that the value of HGM is worth more than their required dues. If you believe this is the case as well, here is the option to contribute a custom amount in addition to your dues. Enter any additional contributions, in $1 increments, as desired. We appreciate your generosity in supporting Michigan's hop growers!
Price: $1.00

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Form Submittal
Total
$0.00
Payment Method*
- Check (Mail to: Hop Growers of Michigan, PO Box 514, Charlotte, MI 48813)
A processing fee is included for online payments.

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Contact Information

Name	Email Address

Variety	Acres	Typical Yield (lbs/acre)