| Company Name _________________________ | Address______________________________ |
City_____________________ State____
Zip code________ | Name_____________________________
Title_______________________________ |
| |
| Website URL___________________________ | Email_______________________________ |
| |
| ___Retail Florist ___Cut Flower Plant Grower | ___Wholesale Florist ___ Allied Tradesman |
| ___Prof. Horticulture & Floriculture ___ Other | |
| I hereby agree to advance the floral industry in Florida and further the intellectual, social, and business interests of my fellow members. | I enclosed my check for membership _____ Bill my credit card (below)
___Visa ___Mastercard ___ Amex
___ Discover ___ Diners Club |
| Credit Card #__________________________ | Exp. Date________ CVS code_________ |
| Signature_____________________________ | Enclosed check #________, $____________ |
| |
| Florida Voting Members Dues - (Owners & all business & floral reps.in Florida) | $100.00 |
| Association Members Dues - (Out of State, non-owner shop, individual membership) | $50.00 |
| Students | $50.00 |
| Sunlighting Subscription Only | $49.95 |
Please Note! Extra copies of Sunlighting only available when full membership is paid. All businesses and floral reps in Florida pay $100.00 per year.
