Membership Application/Renewal

This is the Ontario Hazelnut Association membership application/renewal form. Applicants for new memberships should fill out the form completely. For membership renewals, please include at minimum your name and e-mail address, and also any information that may have changed since the last renewal. Once the form is filled out click on the Buy Now button to pay with credit card, when you arrive at the PayPal page click on the Pay by Credit Card button.

Is this your first time applying for Ontario Hazelnut Association membership?

Business / Farm Name:
* Primary Contact First Name:
* Primary Contact Last Name:
Secondary Contact First Name:
Secondary Contact Last Name:
* Primary Email:
Secondary Email:
Are you a Business that Supplies Goods or Services to Hazelnut Growers? (We have 2 memberhship types - Business / Supplier OR Grower / Regular)
Home Phone Number:
Cell Phone Number:
Mailing Address Line 1:
Mailing Address Line 2:
Mailing Address Line 3:
Tell Us About You: (New members check all that apply; Existing members check changes only)
General Hazelnut Interest
Interested in becoming a Grower
Collection / Aggregators
Pest Management

Membership Dues