| * Firm Name |
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| * Address |
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| *City, *State, *Zip |
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| * Telephone Number |
Fax |
| Email Address |
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| * Name of the Representative |
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| Years in Business |
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# of Employees: Peak Season / Off Season: (it is important to know the number of employees for an approximate count of people in the industry when having to deal with government issues
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|
| Select One of the Four Membership Levels Below |
1. Landscape Contractor/Maintenance Company $300 -
Landscape contractors, maintenance companies and other Green Industry firms who do not fit in the categories below.
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| Type of Company |
|
2. Supplier $300 -
An individual or firm supplying products/services used in landscaping, i.e., nurseries, consultants, hard goods suppliers, etc. (Landscape contractors are not eligible for Supplier membership.)
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| Type of product/services offered |
|
| |
3. Student $25 - -
Full-time students currently enrolled in a two- or four-year program and majoring in a related field of study
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| Name of School |
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| Estimated Graduation Date |
|
| |
4. Affiliate $100 - -
An individual or firm intersted in, but not actively engaged in, the landscape industry (e.g., educators, governmental entities, golf courses, landscape architects, publishers) and any state or regional association representing landscape contractors.
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| |
| Type of Business - Landscape Contractor: Lic# |
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| Type of Business - Maintenance:, Bus.Lic# |
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*required fields
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