This Application is for an annual membership in FNGLA

Please note all fields with * are required.

Member Firm Information

*Company Name:
*Street Address:
and/or PO Box:
*County: (Used in determining the initial
Chapter placement for your company)
Toll Free Phone:
Company Email: (Used for advertising your company
in our Online Locator/Tradeshows)
Company Website:
Recommended By: (Please include name and company)

Your Contact Information

  Title First Name Last Name Suffix
*Contact Name:
*Direct Email: (Used only by FNGLA to send
member news and alerts)
Please select your Primary Business Type or Segment
*Primary Business Type:   (for Division placement)
Please select your Other Business Types or Segments
Secondary Business Type:     Optional
Third Business Type:     Optional
(Information for National Horticulture Foundation)
If you are a Citrus Nursery , Please specify: Retail  /    Seed  /    Budwood
(Information for FNGLA's Consumer Website,
If you are Landscape Company, Please specify: Commercial and/or Residential

Annual Membership Classifications

Questions about membership dues? Click here.
Active Member Firm (Full Benefits and Voting Privileges )
Less than $500,000 Gross Sales $360
$500,001 to $2,000,000 Gross Sales $515
$2,000,001 and up Gross Sales $770
Supportive Member (Greenline Newsletter and Member Alerts - No Voting Privileges)
Government employee: List Agency - $75
Instructor: List School- $75
Retired horticulturist $75
Student Member (Greenline Newsletter and Member Alerts - No Voting Privileges)
I am currently enrolled as a Full-Time Student in horticulture or related studies AND NOT currently employed in the industry.
List school:

Additional Memberships (Optional)

You Must List Active FNGLA Member Firm here:
Affiliate Firm (additional firm owned by an active firm - voting privileges, no limit)
Enter Firm Name:
Affiliate Member (employee of an active or affiliate firm - voting privileges, limit one)
Enter Employee Name:
Associate Member (employee of an active or affiliate firm - no voting privileges, no limit)
Enter Employee Name:

FNGLA-PAC Contribution (Optional)

Voluntary FNGLA Political Action Committee Contribution:
(Suggested Donations: $500 $250 $100 $50 Other)

Payment Information

*Card Type:
* Credit Card Number:
*Credit Card Expiration Date: /20
*Credit Card CVV: What is a CVV?
*Cardholder's Name:
*Cardholder's Phone:
*Cardholder's Email: (Required for transaction confirmation)
Credit Card Billing Address: *(If different from that of above)
Please read and check both boxes below
*Membership Agreement: *In applying for membership, I agree to abide by the Association Code of Ethics. I certify that the information contained herein is true and correct to the best of my knowledge and that any information found to be false may be grounds for denial of membership or removal of membership.
*Credit Card Approval: *I authorize FNGLA to process my credit card for Membership Application as specified on this form.
* Enter this Verification Code 705533 :
Questions or comments?
Contact: Toni Wise
Phone: 800.375.3642