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Membership Application

 

Just print this application, fill it out, and return it with your check and you'll immediately begin receiving all the benefits available to NFA members. If you have any questions call or write the NFA office:

The Northwest Florists' Association
Mick Gainan
PO Box 1157
Billings, MT 59103
406-248-5029


Company Name_____________________________________

Applicant's Name(s)__________________________________

Address____________________________________________

City_______________________State/Province____________

Zip/Postal Code________________

Telephone__________________FAX____________________

E-mail address______________________________________

Students/Instructors Only

School_____________________City____________________

State/Province______________Phone___________________

Membership Category (If more than one applies, please check all appropriate boxes)

Individual/Retailer Grower Wholesaler Allied Trades Retail Grower/Nursery

Associate (Student/Teacher)

If you are a student or teacher of Floriculture/Horticulture, we offer a special dues rate of $55.00 US, or $75.00 CDN.

All other member categories, annual dues rate of $115.00 US, or $155.00 CDN.

Sponsor (optional)___________________________________

Payment Method Check Mastercard Visa

Amount enclosed___________________

Card #____________________________Expiration____/____

Card Holder________________________________________

Signature________________________(required for cc trans)

 

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