AMERICAN LAVENDER GROWERS MEMBERSHIP APLICATION

NAME: ______________________________________________________

ADDRESS: ___________________________________________________

CITY: ____________________________STATE: _______ZIP: ________

Country: ____________________

BUSINESS NAME: ____________________________________________

Λ Membership year is from 1 January to 31 December each year.
.
( Partial year memberships will be pro-rated after May 1 st )

APPLYING FOR (check all that you are applying for):

Grower and one alternate member ………………………………$100

Retailer …………………………..…………………………………$80

Other..……………………………………….………………………$80

Hotel/Motel/Restaurant …………………………….…………….$60

Student or Intern…….……………………………….……………$50

Non – U.S. Member…………………………………….…………$135

Total due…………………………………………………$____________

Payable by: Check
Money Order ( please do not send cash through the mail )


Mail to:     American Lavender Growers
          4297 N  1325 E
          Buhl, ID 83316-5263


A.L.G.A. USE ONLY BELOW THIS LINE

Date:_________________ Paid________________

Member Number Assigned ________

Certificate Completed and mailed ________

Added to mailing list ________

Comp. Init. ________








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