Section 1: Applicant Information

Business / Institution Address

Role within your organization *
Owner / Corporate Leader of a Mushroom BusinessSupplier / Grower / Cultivation CompanyMushroom Supplement Company / ManufacturerScientist / ResearcherProduct FormulatorLab Service Provider (testing, R&D)Sales / Marketing (Individual)Mushroom Nerd

Section 2: Membership Category Interests

Membership Category *
Choose a categoryCordyceps (Associate Members) $5,000Maitake (Startup Member) $2,500Lion’s Mane (Individual Members) $500

Section 3: Credentials & Experience

Section 4: Products, Services & Research Interests

Which mushroom species do you work with? *
Agaricus species (Button mushrooms)Antrodia camphorata (Taiwanofungus)Cordyceps militarisGanoderma spp. (Reishi)Grifola frondosa (Maitake)Hericium erinaceus (Lion's Mane)Inonotus obliquus (Chaga)Laricifomes officinalis (Agaikon)Lentinula edodes (Shiitake)Pleurotus species (Oyster mushrooms)Trametes versicolor (Turkey Tail)Tremella fuciformis (Snow Fungus)Other

What products do you produce? *
Beverages / Functional FoodsCosmetics / TopicalsCulinary Mushroom GrowerCultivation / GrowingDried Mushroom MaterialExtractsMushroom Podcaster / JournalistMushroom PowdersMushroom Substrates / SpawnQuality Control / Lab TestingR&D / Clinical ResearchSupplementsOther

If you produce products, what is your sourcing method? *
We grow our own mushroomsWe source from a mushroom companyWe use wild-crafted mushroomsWe source from an ingredient distributor or supplierNot applicableOther

What material(s) do you source? *
ExtractsFull spectrum (mycelium + substrate + fruiting body)Fruiting Body OnlySpawn / SubstratesNot applicableOther

Where do you primarily source mushrooms? (select all that apply)
CanadaChinaEuropeJapanMexicoUSAOther

Geographical markets served (select all that apply)
AfricaAsiaAustralia / New ZealandCanadaEuropeMexicoSouth / Central AmericaU.S.A.Other

Section 5: Quality, Standards & Ethics

Are you compliant with regulations? *
YesNoNot applicable

Do you follow ethical sourcing? *
YesNo

Section 6: Contribution & Expectations

Committees of interest (select all that apply)
Standards / Quality ControlAdvocacy / PolicyResearch & ScienceConsumer EducationEvents / ConferencesMembershipOther

Section 8: Final Declarations

I certify that all information is true *
I agree

By clicking “I agree,” you acknowledge that the Functional Mushroom Council will use your information solely for internal purposes—such as membership management and community insights—and will never sell or share your personal data with third parties.