EmailMe Form - MEMBERSHIP APPLICATION

Is this a new membership or renewal?

New Member

Renewal

Member years ago

Your Name *

First Last

Farm or Business Name

Mailing Address

Street Address City State / Province / Region Postal / Zip Code

Business Phone *

### - ### - ####

Cell Phone

### - ### - ####

This number will not be published

Email *

Physical Location of Business (if different than Mailing address above):

Types of Memberships:

Regular – Directly engaged in any phase of growing or handling Christmas Trees or related products ($100.00 per year);
Spousal – Husband or wife of regular member ($25.00 per year);
Employee – Bona fide full or part time employee of regular member ($25.00 per year);
Youth – Person 18 years of age or younger directly engaged in any phase of the industry ($10.00 per year);
Associate – Interested person who is a non- grower or non-handler of trees, wreaths or related products ($25.00/year).

Choose Your Membership type: *

Size of Operation:

Trees: # in the ground

Wreaths: Annual Sales

Other:

What programs interest you within the association?

If other, please explain:

Training Topics of Interest?

If other, please explain:

Do you use Pesticides and need Pesticide training/credits?

Yes

No

Not now, but maybe in future

Would you like your farm to be listed on the NHVTCTA website Farm Directory?

Yes

No

Not yet, but maybe in future

My farm is already listed and my info is all correct

If yes, to the Farm Directory Listing, which categories do you want to be listed under:

For multiple locations, please list your other addresses to be listed on site:

HOW DID YOU HEAR ABOUT THE ASSOCIATION?

Comments/Questions:

How would you like to pay?

Online now with credit card ($3.00 convenience fee added to total)

will mail in check