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:
Richard Merritt, AHGA Executive Secretary
73 Exeter Rd.
South Hampton, NH 03827