11050 Hwy 441
Amite, LA 70422
985-789-4301
www.lnla.org
2016 MEMBERSHIP APPLICATION
✔ SELECT THE BUSINESS AND MEMBER TYPE THAT BEST REPRESENTS YOUR BUSINESS
□ REGULAR MEMBER (Voting) - $ Based on gross sales per year (below)
In Louisiana, a licensed or permitted business or person engaged in one or more of the business types below.
Dues
□ $50.00
□ $75.00
□ $150.00
Annual Gross Sales
$0 - $99,999
$100,000 - $249,999
$250,000 or more
The ★Business Type designation is used in LNLA’s membership directory and association website. Check each □ that applies.
□ Arborist/Urban Forester (A)
□ Plant Broker (BR)
□ Horticultural Consultant (HC)
□ Retail Nursery / Garden Center (GC)
□ Interior Plant Maintenance (IM)
□ Small Greenhouse/Field Grower (SG)….grow/sell direct to consumers
□ Irrigation Contractor (IR)
□ Sod/Turf Producer (T)
□ Landscape Contractor (LC)
□ Wholesale Greenhouse Grower (WG)….bedding/tropical plants
□ Landscape Design/Architect (LA)
□ Wholesale Field Grower (WF)….balled/container woody plants, perennials
□ Landscape/Lawn Maintenance (LM)
□ ASSOCIATE MEMBER (Non-Voting) - $100.00
□ In Louisiana - Wholesale Allied Supplies (AS) A business/person selling any non-plant item such as chemicals, containers,
equipment, fertilizer, garden décor or furniture, insurance, mulch, soil, stones, etc. Product(s) sold: _____________________________
□ All Out-of-State Allied Supplies (AS) or horticulture business types★ listed above. State: _____ Specify type(s): _____________________
□ AFFILIATE MEMBER (Non-Voting) - $25.00
An employee (not owner/manager) of any business type★ listed above. Specify type(s): ___________________________________________
□ GOVERNMENT/EDUCATION MEMBER (Non-Voting) - $25.00
The employee of a government or non-profit entity, having a job responsibility in horticulture or closely related field.
□ College or University Education/Extension/Research (U)
□ Educational/Regulatory Government Agency (GV)
□ Public Gardens or Parks (PG)
□ RETIREE MEMBER (Non-Voting) (R) - $25.00
Any person formerly actively employed in horticulture or closely related field and having been a paid member of LNLA before retirement
from that employment.
□ STUDENT MEMBER (Non-Voting) (S) - $0 Free
Full time student enrolled in a Louisiana university or college in horticulture or a closely related field.
University/College name & location (city): _______________________________________________
□Newsletter by mail to student fee: $25.00 per year.
OPTIONAL: Members wishing to support the following should add the $$ to their dues check. LNLA will forward the donation.
□ Louisiana Nursery & Landscape Foundation for Scholarship & Research (LNLFSR) – Scholarships to deserving
University horticulture/landscape students and grants for horticulture/landscape research /education.
Amount $____________
Please indicate your preference to receive newsletters:
Make check payable to:
Mail check and entire form to:
□ Email only
□ Mail only
□ Both email and mail
Louisiana Nursery & Landscape Association
LNLA, 11050 Hwy 441, Amite, LA 70422
PRINT CLEARLY
Amount $ ___________
Your Name: _____________________________
Business/Organization: ________________________________________
Mailing Address: ________________________________________
Phone
______________________
Check # ____________
Date _______________
City, State Zip __________________________________
Email _______________________________________________
Office Use Only:
FAX
______________________
Website _______________________________________________
ID # ___________
Referred by (Name, Business Name, & City): ______________________________________________________________
Please allow 4-6 weeks for new membership processing & delivery of materials.
Rev. 4-30-15