ICFG MEMBERSHIP APPLICATION

Please enroll the following firm as a member of the International Cut Flower Growers Association:

Firm Name _______________________________________________________________

Address _______________________________________________________________

City _______________________ ST/Prov. ______________ Zip/PC _______________

Country _______________________________________________________________

Phone (______)______________________ Fax (______)________________________

E-mail ________________________ Web Site ________________________________

Owner’s Name __________________________________________________________

Management (Please indicate names, titles and separate e-mail addresses, if appropriate.)

_________________________________________________________________________

__________________________________________________________________________________
Please check one as your category of membership:

_____ GROWER ($500.00 annual dues*)

_____ SUPPLIER ($500.00 annual dues*)
                    _____ Chemical Manufacturer/Distributor
                    _____ Greenhouse Manufacturer/Distributor
                    _____ Plant/Seed/Bulb Hybridizer/Producer
                    _____ Greenhouse Service Company
                    _____ Consultant

_____ ASSOCIATE ($300.00 annual dues)
                    _____ Wholesaler
                    _____ Trade Association
                    _____ Trade Media
                    _____ Miscellaneous Other - Please describe:
                                ______________________________

*First Year Trial Membership - Grower and supplier firms can join ICFG for the reduced dues rate of $300.00 (U.S.) for the first year, with full membership benefits and privileges.  Following the first year of membership, dues will be assessed at the current rate set by the ICFG Board of Governors.

Please return this application and a check (U.S. funds paid through a U.S. bank) for your first year’s dues to:  ICFG, P.O. Box 99, Haslett, MI  48840.

Dues, contributions or gifts to ICFG are not deductible as charitable contributions for (U.S.) federal income tax purposes, but may qualify as a deductible business expense.