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American
Hosta Growers Association Membership Form
Date: ____________
Firm: _________________________________________
Contact Person:_______________________________ Address:_______________________________________________
City______________________________
State_____________
Zip________
Phone ___________________________
FAX _______________________________
E-Mail:_________________________________________
Website:________________________________________
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 to:
Bob Solberg, AHGA Executive Secretary
P. O. Box 16306,
Chapel Hill, NC 27516
Please indicate your type(s) of business:
Wholesale Grower _____
Retail Garden Center _____
Liner Grower _____ Retail Mail Order _____
Landscape Contractor _____
Other (specify)_______________________________
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