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The undersigned hereby applies for membership in the WEST VIRGINIA NURSERY & LANDSCAPE ASSOCIATION, INC.,  
for which___________in the amount of $________   is enclosed.  (cash/check)

ACTIVE membership in the Association shall be open to all residents of West Virginia who grow and/or sell ornamental nursery stock as registered nurseries or nursery dealers, including trees, evergreens, shrubbery and perennials and have actively engaged in retail or wholesale business of these products for a minimum of two years, as a majority portion of their livelihood, and who shall bear a reputation for trustworthy dealings, which must be maintained as a condition of membership.  Dues shall be $35.00 per year.

AFFILIATE membership shall be wife and/or employees of active members.  Dues shall be $5.00 per year.

ASSOCIATE members shall be those individuals, partnerships or corporations who furnish materials or render services to the nursery and landscape business or who are associated with the nursery and landscape business in any way.  Associate membership shall be extended to and shall include landscape architects, commercial horticulturists, Christmas tree growers, related industries, superintendents of parks and estates, technical officials of the Department of Agriculture and the state’s educational institutions.  Out of state nurserymen may also be accepted as associate members.  Such associates shall not hold elective office nor be eligible for membership on the Board of Directors, and shall have no voting rights.  Associate member dues shall be $25.00 per year.

ALLIED membership:  Membership for national and regional and/or local merchandisers.  To qualify for consideration, these firms must have at least 25% of their gross sales in green goods and maintain year round sales facilities for nursery stock.  Representatives of these firms shall have no voting privileges, cannot hold elective offices or appointed positions within the Association.  Each store will be counted as one allied member.  Dues shall be $100.00 per store.

FIRM NAME_______________________________________________________ DATE________________________

OWNERS NAME___________________________________________________ PHONE_____________________ FAX_____________________

 STREET OR RFD #_________________________________________________ COUNTY________________ E-mail_______________________

 CITY__________________________________________ STATE____________ ZIP CODE______________________

 MAILING ADDRESS (IF DIFFERENT FROM ABOVE)_______________________________________________________________________

BUSINESS CATEGORY:  Please circle all that apply.

                Arborist                   Landscape Construction                           Nursery Supplies                       Sod Farm

Educator                  Landscape Maintenance                           Perennial Nursery                    Wholesale Nursery

                Landscape Architect                                                Landscape Nursery                   Retail Nursery

Other (Please describe)__________________________________________________________ Date Business Established____________________

NAME OF PERSON REPRESENTING FIRM__________________________________________________________

BANK REFERENCE________________________________________________________________

TRADE REFERENCES (3)_________________________________________________________________________

STATE LICENSE NUMBER__________________INSPECTION NUMBER____________________DATE________

APPROVED:  YES_____  NO_____                                       SIGNED______________________________________
                                                                                                                                                         (APPLICANT)

______________________________       ____________        SIGNED_______________________________________
ASSOCIATION PRESIDENT                  DATE                                      (SPONSORED BY ACTIVE MEMBER OF WVNLA