New Member Application
Check Your Member Type
____Regular Member - Any concern actively engaged in the nursery business in Connecticut, more than
50% of whose gross volume is derived from the sale of nursery stock and related
products, and/or services essential to garden living.
Please If Your Annual Sales Your Annual Your Additional
Check One: Are Within: Dues Are: Free Associates*:
_________ $0-$150,000 $200.00 2 addl. staffers
_________ $150,000-$500,000 $340.00 4 addl. staffers
_________ $500,000-$1,000,000 $440.00 6 addl. staffers
_________ $1,000,000-$3,000,000 $525.00 8 addl. staffers
_________ Over $3,000,000 $675.00 10 addl. staffers
Name of Principal Member: _______________________________________
*Please List Below the Names of Your Free Associate Members (who will receive
all CNLA membership benefits, in addition to the principal member):
1._____________________________ 6.____________________________
2._____________________________ 7.____________________________
3._____________________________ 8.____________________________
4._____________________________ 9.____________________________
5._____________________________ 10.___________________________
____Allied Member - Firms supplying manufactured materials or services to regular members, or
out-of-state companies that are members of their state’s nursery association. $165 annual dues.
____Affiliate Member - Government agencies & non-horticultural businesses having staff who deal with horticultural products.
$165 annual dues.
____Education/Research Member - Involved in nonprofit teaching or research affecting nursery industry. No dues
fee.
____Additional Associate Members - Additional employees of Allied/Affiliate firms or of Regular member firms beyond
those free associates allowed above. $15 annual dues. List names on the reverse side of this sheet.
____Senior Member - Any individual, sixty years old or older, who has been a regular or associate
member of the Association for more than ten years. $50 annual dues
____Student Member - Any student enrolled in a high school or collegiate horticultural course of
study, with required participation on a Association committee. $50 annual dues.
Information About You & Your Business
Principal Member Name__________________________________________
Company______________________________________________________
Address_______________________________________________________
Town___________________________________State__________Zip_____
Phone________________________________Fax_____________________
E-Mail_______________________Number Years in Business____________
CNLA Member Sponsoring Your Application___________________________
