VANILLA INDUSTRY DEVELOPMENT ASSOCIATION

OF THE PHILIPPINES

MEMBERSHIP APPLICATION

NAME

ADDRESS

FARM

LOCATION

BIRTHDAY MARITAL
STATUS

GENDER BIRTH PLACE

E-MAIL MOBILE
PHONE

TYPE OF BUSINESS/OPERATION
Check applicable box.
√ TYPE REMARKS

Nursery Operation

Tissue Culture

Trader / Consolidator

Processor

Service: Academe, Training, Farm Technician

When did you start your vanilla farm?

How many vanilla plants do you have today?

Founding Members (Core Group) P 5,000.00 Annual Fee P 3,000.00

Pioneering Member (Vanilla Group) P 3,000.00 Half-Year P 1,500.00
Regular Members P 4,000.00 Annual Fee P 1,500.00
Deposit to PNB Malvar, Batangas Branch, Account No. 634210038740
Vanilla Industry Development Association of the Philippines (VIDA)
Villegas Organiks, Lantin Street, San Pedro I, Malvar, Batangas. ZIP 4233
Please advise Mr. Pablito Villegas (09178211548) or Basil Bolinao (09175721616) when the deposit has
been made and email the form to pabsvillegas2010@gmail.com or basil.bolinao@gmail.com.

_________________________________ _____________________________
Print Name / Signature / Date Approved by / Date