What email address or phone number would you like to use to sign in to Docs.com?
If you already have an account that you use with Office or other Microsoft services, enter it here.
Or sign in with:
Signing in allows you to download and like content, and it provides the authors analytical data about your interactions with their content.
Embed code for: NewMemberInfo
Select a size
Last Name: ___________________________________________ First Name: ______________________________________
Home Phone Number: _______________________________________________________________________________
Cell Number: _________________________________________________________________________________________
Number of Family Members? ____________
Children’s Ages? _____________________________________
Favourite Fruits & Veggies: ___________________________________________________________________________
How did you hear about Local Organics?
☐ Friend ☐ Were you referred by a member? If so who? ______________________________
☐ Advertisement ☐ Social Media (Facebook, Twitter, Instagram, etc.) ☐ Website
☐ Newspaper Advertisement ☐ Other (Please explain): _______________________________________
Would you like to be added to our Workshop Mailing list? ☐ YES☐ NO
Would you like to be added to our Healthy Living 101 Mailing List? ☐ YES☐ NO
Date Joining: ___________________________________
Membership Paid: _____________________________
Member # ________________