Iowa Christmas Tree Growers Membership
Membership Application
Calendar Year 20____
If
anything critical has changed please write in RED.
LAST NAME:________________________________________ FIRST:_____________________________________
PARTNER OR SPOUSE :__________________________________________________________________________
NAME
OF BUSINESS:_____________________________________________________________________________
________________________________________________________________________________________________
ADDRESS: STREET OR BOX_______________________________________________________________________
CITY:______________________________________________ STATE:________________ ZIP:__________________
PHONE
(Home): ___________________________________PHONE (Cell): __________________________________
PHONE (Business): ________________________________FAX: __________________________________________
EMAIL (Print Plainly): ____________________________________________________________________________
WEB
PAGE ADDRESS (Your URL, eg. www.yourfarmname.com):
________________________________________________________________________________________________
TREE SALES LOCATION IN WHAT COUNTY:__________________________________________________________
The above information is for ICTGA mailings, directory, newsletters, magazine, state fair handouts, and the free part of ICTGA website. If you have special requests, attach to back of form. The paid EXTENDED website information will be entered on the reverse of this page.
DUES
| Associate Member | related business | $40 | $__________ |
| Active Iowa Member | not selling trees | $45 | $__________ |
| selling 1 to 500 trees | $65 | $__________ | |
| selling 500 to 1000 trees | $80 | $__________ | |
| selling over 1000 trees | $90 | $__________ | |
| Annual fee to have your website URL listed on the ICTGA website | add $5.00 | $__________ | |
| Annual fee to have EXTENDED informatoin on ICTGA website. See reverse side to enter extended information. | add $10.00 | $__________ | |
| TOTAL amount enclosed for MEMBERSHIP DUES | $__________ | ||
MAKE CHECKS PAYABLE TO ICTGA AND MAIL TO:
C/O JAN PACOVSKY
956 EAST MAIN
NEW HAMPTON, IOWA 50659
641-394-4534
Last Name:_____________________________First Name:_____________________________
Note: Check www.iowachristmastrees.com and make ONLY CORRECTIONS below. A totally filled out form will be disregarded unless this is a first time use.
Tree types (choose & cut): ______________________________________________________
Tree types (wholesale):__________________________________________________________
Directions to farm (use starting point) From:_________________________________________
______________________________________________________________________________
Features (other than listed below):_________________________________________________
______________________________________________________________________________
Hours:_________________________________Dates open:_____________________________
Farm amenities (circle those that apply) Saws, Cutting Service, Mechanical Shaking, Baling Service, Tie Down, Restroom, Gift Shop, Santa, Hay Rides, Petting Zoo, Credit Cards, Wreaths, Flocked Trees, Pre-cut Trees, Tree Recycling, Photo Service, Mail Order Wreaths,
Other Amenities:________________________________________________________________