Join/Renew Pioneer Valley Local First, Western Mass

Join/Renew Pioneer Valley Local First

THINK LOCAL FIRST! Membership Application

Please fill out the form below to become/renew your membership with Pioneer Valley Local First. Click here to see our Membership Benefits.

ANNUAL DUES:

Business/Organization Membership:

1 to 3 locations $100
4 to 6 locations $300
7 or more locations $500

Farms and other businesses that are Local Hero members of CISA receive a 15% discount off the cost of our membership.

Individual Supporter:

$25
For Students/low income: $15

Donations above each of these levels are always welcome and go a long way in supporting our programs and services of creating a local, living economy here in Western Massachusetts. All donations to Pioneer Valley Local First are greatly appreciated, but unfortunately are not tax deductible, since we are 501c6 organization.

Fields marked with a red asterisk are required.

Criteria for Business Membership: *

My business is privately held, not publicly traded.

The business owners, totaling greater than 50% of the business ownership live within 50 miles of the Pioneer Valley.

My business is based in Western Massachusetts and has no corporate or national headquarters outside of the state.

The business can make independent decisions regarding the name, logo, and look of the business, as well as all business purchasing practices and distribution.

Please check all boxes above to confirm that your business is locally-owned and independent.

Join or Renew: *

Join

Renew

Please indicate whether you are joining for the first time or renewing an existing membership.

Business/Organization/Individual: *

Your Name: *

Business Address: *

City: *

Zipcode: *

Telephone: *

Public Email Address: *

Private Email Address:

Your Private Email Address is for us to be able to communicate with you throughout the year, and the public email address will go in your listing in our printed Local Business Guide.

Website:

Payment Type: *

Check

PayPal

Invoice Me

Short description of your business/organization: *

Please enter up to 80 characters to describe your business/organization for our printed Local Business Guide. We will contact you soon about setting up your page on our website. Thank you for becoming a member.

How did you hear about Pioneer Valley Local First?:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.