Carbon-Negative Network
communities confront climate change, food security & energy independence
www.carbon-negative.us
Biochar NE Membership Form
print, fill out and mail this form with your $25 membership fee to:
Biochar NE , c/o David Yarrow , 44 Gilligan Road, East Greenbush, NY 12061
(beyond a minimal membership fee, please enclose a donation to launch this Northeast biochar initiative)

NAME________________________________________________________________________________________________

ASSOCIATION_________________________________________________________________________________________

STREET______________________________________________________________________________________________

TOWN___________________________________________________________ STATE_______________ ZIP____________

PHONE HOME___________________________________________ WORK__________________________________________

EMAIL____________________________________________ WEBSITE_____________________________________________

OCCUPATION_______________________________________ LOCATION________________________ NO. OF YEARS_______

DESCRIBE YOUR INTEREST IN BIOCHAR:____________________________________________________________________

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HOW DID YOU HEAR ABOUT BIOCHAR?_______________________________________________________________________

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DO YOU BIOCHAR USE IN SOIL? DESCRIBE:_________________________________________________________________

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DO YOU MAKE YOUR OWN BIOCHAR? DESCRIBE:_______________________________________________________________

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WHAT ARE YOUR QUESTIONS ABOUT BIOCHAR & CARBON-NEGATIVE?______________________________________________

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HOW CAN YOU HELP ADVANCE CARBON-NEGATIVE STRATEGY?____________________________________________________

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CAN YOU SPONSOR LOCAL BIOCHAR EVENTS?_________________________________________________________________

WHERE? WHEN?__________________________________________________________________________________________



David Yarrow — dyarrow@nycap.rr.com — www.carbon-negative.us — updated 10/5/2009