WMSPA MEMBERSHIP APPLICATION

Name: Today's Date:

Address:

CityStateZip:

Telephone Number including area code:

Sugarbush Location:(county)

Email Address :

Do you tap trees now?  Yes  No    How many taps?

Membership type:    New Member Renewal of Membership

Would you like to be listed on WMSPA's web site?  (If yes, signature needed below)  Yes No

Would you like to have your name/sugarbush on flyers made by our association for future handouts, such as open house flyers and location of sugar bushes to visit?  (If yes, signature needed below)   Yes No

If you checked yes to either of the last 2 questions, your signature is required to comply with the Privacy Act.

Sign here: _______________________________________________

MEMBERSHIP DUES SCHEDULE (Please check one that applies to you)
___ $30 for up to 500 taps (includes subscription to Wisconsin Maple News/Maple Digest)
___ $40 for 501-1000 taps (includes subscription to Wisconsin Maple News/Maple Digest)
___ $60 for 1001 taps or more (includes subscription to Wisconsin Maple News/Maple Digest)
___ $15 extra for family members
(2 members - any combination, such as husband & wife, father & son, brothers, etc)
___ $6 per year for subscription only to Wisconsin Maple News

Mail this application along with a check to: Lloyd Franz; WMSPA Treasurer
2207 HWY F
Athens, WI 54411

Make check payable to: WI Maple Syrup Producers Association
Membership is good for one year from date of payment.