APPLICATION | VSFBA

Application For Membership

Select a date

Membership Type

Producer Member - $189.00

Provider Member - $189.00

Retailer Member - $0

How Many Years in Business

Company Name

DBA

Billing Contact Name

Phone

Mailing Address

City

State

Zip

Email Address

Additional Associates' Name & Email to Receive Alerts

Website URL

Class of trade selling to ( Click all that apply)

Wholesale

Farm Markets

Retail/Web

Fundraising

Corporate

Restaurants/ Catering

How did you hear about VSFBA?

Social Media

Attended an Event

Referred by Current Member

Email Invite

Other

You can either pay your membership dues online ( preferable), or send a check for the annual dues made out to Virginia Specialty Food & Beverage Association (send to):

VSFBA

Attn: Laurie Aldrich

2711 Buford Rd #174

Bon Air, VA 23235

VSFBA Member Application 2021.pdf

VSFAB APPLICATION.pdf

Download the PDF version of the application here.

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Virginia Specialty Food & Beverage Association

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Laurie Aldrich

Executive Director

Association Solutions

804-649-0780

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