RENEWALS DUE JULY 1 

 

Central Virginia Nursery & Landscape Association

 

Click here to download a MS Word copy to print and use or click here for a PDF file

 

In order to keep the membership roster up-to-date and accurate for the following year, this form needs to be
completed and returned along with your dues.  Please do not mark “Same as last year”. 
The check for dues is to be made out to ‘CVNLA’ and either mailed with this form to the address listed below
or brought to the  June Picnic.  $10 will be charged to your firm if dues are received later than August 1. 
If dues are not paid by September 1, your firm will be dropped from the membership.  Mail renewals to:

 

CVNLA
 11349 Saddlewood Lane
Rockville, VA 23146

 

     Representative(s) Name ____________________________________________________________

Address to be used for association purposes

Business Address                                      or                     Home Address

 

Street ____________________________                       Street _______________________________

City ___________________ State ___ Zip ________     City ________________ State __ Zip____

Phone__________________ Fax ________________    Phone _____________  Fax _____________

Main E-mail for publication ____________________       E-mail ___________________

Website Address_________________________________________________________

Additional E-mails for Newsletter & member updates (list each recipient name & e-mail address):

____________________, ______________________, ______________________,
____________________ 

 

                                                               Type of Membership

 

(  ) Regular  (45.00)                       (  ) Associate ($45.00)         (  ) Advisory/Education (10.00)

 

(  ) Retail                                          (  ) Sales                                     (  ) Instructor

(  ) Wholesale                                   (  ) Service                                  (  ) Extension

(  ) Maintenance                               (  ) Other ______________        (  ) Student

(  ) Landscape Contractor                                                                    (  ) Other___________________

(  ) Other _________________

 

Would you like to receive our monthly newsletter via the internet? ___________

       (we strongly recommend this – more cost effective and timely)

Would you like to link your website to the CVNLA website? _______________

 

Give a brief description describing business to be listed under “service” in brochure

Example: landscape contractor: specializing in – or Garden Center: retail /wholesale provider of –

___________________________________________________________________________________

 

____VNLA Certified Horticulturalist employed at your business?
____ VSLD Certified Landscape Designer?    

 

Click here to download a MS Word copy to print and use

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