Associate Membership
Application Form
I wish to become a Member of LOFC and enclose €60 and request that you will please send me a
standing order form to set up future payments.
Name:
Address:
County:
Telephone:
Email:
Organic Status:
Producer of:
Signature:
_________________________________________________________________________________
Please make cheques payable to: Leitrim Organic Farmers Co-op
Please return this form by post with membership fee to:
Leitrim Organic Farmers Co-op, The Enterprise Centre, Hill Road, Drumshanbo, Co. Leitrim
Membership Queries
Patricia Earley
Email: [email protected]
Tel: (071) 964 0868