SOUTHEAST LOUISIANA NURSERY ASSOCIATION
MEMBERSHIP FORM
Membership Categories & Dues:
_____ Regular nursery membership, $50.00 per year, check all that apply:
_____ Wholesale nursery _____ Landscape architect
_____ Retail nursery _____ Landscape contractor
_____ Landscape maintenance _____ Horticulture consultant/educator/trainer
_____ Allied membership, $90.00 per year, includes suppliers of equipment, soil, nursery supplies, fertilizers, pesticides, hard goods, etc.
MEMBER NAME(S) ____________________________________________________________
POSITION AT BUSINESS (Owner, Field Manager, etc.) _______________________________
BUSINESS NAME _____________________________________________________________
MAILING ADDRESS ___________________________________________________________
________________________________________________________________________
BUSINESS PHONE __________________________ FAX ____________________________
CELL PHONE _______________________________
PAGER __________________________
EMAIL _______________________________________________________________________
WEBSITE ____________________________________________________________________
HOME ADDRESS (optional) _____________________________________________________
HOME PHONE (optional) ________________________________________________________
SUGGESTIONS FOR MEETING TOPICS/SPEAKERS ________________________________
________________________________________________________________________
SUGGESTIONS FOR SELNA ACTIVITIES _________________________________________
________________________________________________________________________
Make check payable to SELNA and mail to secretary Annie Coco, PO Box 848, Amite, LA 70422-0848.