American Hosta Growers Association
Membership Information

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Hosta Growers Association Membership Form

Date: ____________ 

Firm: _________________________________________ 
Contact Person:_______________________________ Address:_______________________________________________
City______________________________
State_____________
Zip________
Phone ___________________________
FAX _______________________________
E-Mail:_________________________________________
Website:________________________________________ 
Please indicate your type(s) of business:
        Wholesale Grower _____ 
        Retail Garden Center _____
        Liner Grower _____ 
        Retail Mail Order _____
        Landscape Contractor _____ 
        Other (specify)_______________________________
State Sales Tax # or Business ID #:  __________________________________
State Dept. of Agriculture Certificate # __________________________________
American Hosta Society Member yes or no? ______

Dues:
One year for $35.00 OR Three years for $100.00

Please send dues  and membership form to:

Robert M. Solberg, AHGA Executive Secretary
P.O. Box 773
Franklinton, NC 27525