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Wisconsin Growers Association 211 Canal Rd., Waterloo, WI 53594 Date: MEMBERSHIP FORM

Orchard/Company Name Name Address City State Zip County Phone Fax E-Mail Website Facebook page Orchard Address

_____ New Membership _____ Renewal Membership

□ Grower Membership - Base $60 annually plus $2.50 per bearing acre Designated Research Funds ______Number of Bearing Acres x $2.50 = ______plus $60 = $______□ Associate Membership - $100 (For apple-related businesses) $ ______OPTIONS: Inclusion on WAGA Orchard Map - $65 $ ______(publishing, printing and distribution costs) Additional Donation for Apple Promotion $ ______

TOTAL ENCLOSED $______Make check payable to: Wisconsin Apple Growers Association 211 Canal Rd., Waterloo, WI 53594 Phone: (920) 478-4277 Fax: (920) 478-9586

Charge to my (circle one) MasterCard Visa Discover

Cardholder ______

Card Number ______Exp. Date ______

Signature ______Security Code (3 digit code on back of card)______

Member Information Every member of the Wisconsin Apple Growers Association can be listed on the WAGA website.  Do NOT list my orchard information on the WAGA website or promotional information. Please list your specialties and/or attraction(s) on the lines below.

List special features and attractions, directions, hours of operation, pick your own, , caramel , school tours, other produce, crafts, gift shop, etc. Thank You For Being a Member of the Wisconsin Apple Growers. Wisconsin Apple Growers Association 211 Canal Rd., Waterloo, WI 53594

Please Check: □ Pick Your Own □ Pre-Picked □ Organic □ □ Caramel Apples, □ Bakery □ Orchard Store □ Fall Produce □ Wholesale

□ North Star King □ September Wonder □ Northern Lights □ Sheepnose □ Americus Crab □ Golden Nugget □ □ Shizuka □ □ Northwest Greening □ Silken □ Ashmead's Kernel □ Golden Smoothee □ Nova Spy □ Sir Prize □ Autumn □ Golden Supreme □ Orenco □ Smokehouse □ □ Goldrush □ Oriole □ Snow (Fameuse) □ Beacons □ Graham □ Ottawa □ Snow Sweet □ □ Ozark Golds □ Sonata (Pinata) □ Blenheim □ □ Sonya □ Blondee □ Greendale □ Peck's Pleasant □ □ Blushing Golden □ Greening □ □ Spigold □ Bonnie's Best □ □ Spitzenburg □ □ Haralred □ Pazazz □ Spurmac □ Bronze Delicious □ □ Pink Lady □ St Edmund's Pippin □ Buckeye Gala □ Hazen □ Pixie Crunch □ St Lawrence □ Calville Blanc d'Hiver □ Hidden Rose □ Pound □ State Fair □ □ Holiday □ Pound Sweet □ Summer Rambo □ Candycrisp □ Honey Gold □ Prairie Spy □ Summer Sensation □ Chenango Strawberry □ □ Pricilla □ Suncrisp □ Chestnut Crab □ Hubardson Nonesuch □ Prima □ Sunrise □ Chieftan □ Humes □ Pristine □ Supergold □ Connell Red □ Hyslop Crab □ Puritan □ Sweet Bough □ Cornell Sour □ Ida Red □ Rambo □ Sweet Russet □ Cornell Sweet □ Jersey Mac □ Rebella □ Sweet Sixteen □ □ Sweet Wisconsin □ Cox’s Orange Pippin □ Jonagored □ Red Cortland □ SweeTango® □ □ Jonamac □ □ Swiss Gourmet (Arlet) □ Crimson Crisp □ □ Red Fuji □ □ Jumbo □ Red Gravenstein □ Transparent □ □ Keepsake □ Red Haralson □ Valstar □ Criterion □ Kendall □ Red Jonagold □ Viking □ Dandee Red □ Kindercrisp □ Red Jonaprince □ Wayne □ Dayton □ King David □ Red Northern Spy □ □ Davey □ Lady Apple □ Red Regent □ Wellington □ Daybreak Fuji □ Lakeland □ Red Rome □ Whitney Crab □ Delcon □ □ Red Wealthy □ Williams Pride □ □ Linda Mac □ Redfree □ □ DS-428 □ □ Redmax □ □ Duchess □ Lura Red □ Regent □ □ Dudley □ Lyman's Large Summer □ □ Earliblaze □ Macoun □ □ Yellow Bellflower □ Early Gold □ Maiden Blush □ Riverbelle □ Yellow Transparent □ Early Jonathan □ Margil □ Rome □ □ Early Mac □ Marilyn's Delight □ Rome Beauty □ Zestar!® □ Early Red Birds □ McIntosh □ □ Zing □ □ Royal Court □ □ Royal Empire □ Ever Crisp □ Milton □ Royal Gala

□ Fireside □ Missouri Pippin □ Rubinstar □ Fortune □ Mollies Delicious □ Ruby Mac □ Freedom □ Monroe □ Sansa

□ Frostbite □ Mother □ Scarlet □ Fuji □ (Crispin) □ Scarlet □ Fulford □ Early New Yorker □ Secor □ Gala □ □ Senshu

We’re trying to gather information on “cider” apple varieties on Wisconsin Orchards. Please list below the varieties you have and how many trees. Please add additional pages if necessary. Thank you.

Cider Apple Varieties Number of Trees Varieties Number of Trees

Thank You For Being a Member of the Wisconsin Apple Growers.