HAWAII ORGANIC FARMERS ASSOCIATION
Membership and Order Form - Certification
Packet Request in Publications and Services
Address: P.O. Box 6863, Hilo, HI 96720-8935
Ph: (808) 969-7789 Fax: (808) 969-7759
NAME:
_______________________________________________ DATE: _____________
BUSINESS/FARM NAME:
___________________________________________________
MAILING ADDRESS:
_______________________________________________________
CITY______________________________ STATE
______________ ZIP_______________
PHONE_____________________FAX____________________CELL: ________________
E-MAIL
___________________________________________________________________
Membership Category: Please select one
_____ NEW MEMBER $35/year
Any person wishing to support organic agriculture
_____ RENEWING MEMBER $35/year
_____ SENIOR 65 years of age or older $15/year
_____ STUDENT High school or college $10/year
_____ FAMILY or BUSINESS $ 50/year
_____ LIFETIME MEMBERSHIP $350 one-time fee
Publications and Services:
_____ HOFA CERTIFICATION HANDBOOK $15
Detailed information on organic certification
guidelines, record keeping templates, and
the Federal Organic Rule
_____ CERTIFICATION APPLICATION PACKET $75
Includes: 1 YEAR membership, certification handbook
(above), OMRI booklets, and
application. Please circle which app: Crop
Apiary Producer& Handler Livestock
______ SMALL FARM EXEMPTION PACKET $50
INCLUDES: 1 YEAR membership, certification handbook
(above), small farm exemption
affidavit
_____ APPRENTICESHIP PROGRAM $20
Includes: 1 YEAR student membership and host
farm list
_____ SEVEN STEPS TO CERTIFICATION FREE!
Office must receive payment before sending out
publications
NOTE: no postage and handling fees required for the
above items.
HOFA MERCHANDISE ORDER FORM
Show your support for organic farming in Hawaii!
DVD “Growing Towards the Light” Price Quantity
Total
DVD on the status of organic farming in Hawaii $15
_______ $_____
T-SHIRTS:
100% organic cotton T-shirts in natural colors @ $15
Please circle color or colors and make preferences clear
Shirts run one size larger than standard sizes
Long sleeved blue or maroon Small _____ Medium_____
Short sleeved green, natural, or purple. Large _____ X Large_____
HATS:
Baseball cap style in beige color w/ blue brim
& Color HOFA logo. (One size fits all.) $20 _______ $_____
HAWAII ORGANIC PRODUCTS DIRECTORY $6.00 ________ $_____
BUMPER STICKER:
“Support Hawaii Organic Farmers” w/ HOFA logo
4” X 5”, white background, blue & green font. $2 _______ $_____
SUBTOTAL: $______
SHIPPING & HANDLING: $______
TOTAL $______
Send check or money order to HOFA for the amount indicated
Please specify quantity and size if applicable.
Please call for shipping and handling rates for large orders
Credit card payment:
Name on card___________________________________________________________
today’s date: ____________
Credit card
number_______________________________________________
Expiration date ______________________
V-CODE _________ (ON BACK OF CARD)
(circle) VISA MC
Billing address (IF DIFFERENT THAN MAILING)
__________________________________________________
__________________________________________________
Phone number _________________ (We will call to verify sale)
Sale Amount total_____________________
Add Postage and Handling for merchandise orders! SHIPPING RATES IN USA:
MERCHANDISE TOTAL $0-$25 $5 Handling & Shipping
$26-$50 $10 Handling & Shipping
$51-$75 $15 Handling & Shipping
$76-$100 $20 Handling & Shipping