Yes, I/we want to join South Whidbey Tilth. There are _____ adults in my household who would like to have voting rights. Enclose $25 annual dues for a single membership, and add $10 for each additional membership in the same household.

I want to make a $_______ donation to help with the goals of South Whidbey Tilth, a nonprofit corporation, EIN # 91-1456495.

Name(s):

Phone:

Mailing Address:

Zip:

Email:

Please indicate if you would like to receive:

The following activities interest me/us:

I am also a Tilth market vendor

I wish to be a Tilth market vendor, send me more information.

Please print this form and mail to: South Whidbey Tilth Association, P.O. Box 252, Langley, Washington, 98260