Iowa Christmas Tree Growers Membership

Membership Application Calendar Year 20____
If anything critical has changed please write in RED.

 

LAST NAME:________________________________________ FIRST:_____________________________________

PARTNER OR SPOUSE :__________________________________________________________________________

NAME OF BUSINESS:_____________________________________________________________________________

________________________________________________________________________________________________

ADDRESS: STREET OR BOX_______________________________________________________________________

CITY:______________________________________________ STATE:________________ ZIP:__________________

PHONE (Home): ___________________________________PHONE (Cell): __________________________________

PHONE (Business): ________________________________FAX: __________________________________________

EMAIL (Print Plainly): ____________________________________________________________________________

WEB PAGE ADDRESS (Your URL, eg. www.yourfarmname.com):

________________________________________________________________________________________________

TREE SALES LOCATION IN WHAT COUNTY:__________________________________________________________


The above information is for ICTGA mailings, directory, newsletters, magazine, state fair handouts, and the free part of ICTGA website. If you have special requests, attach to back of form.  The paid EXTENDED website information will be entered on the reverse of this page.


DUES
Associate Member related business $40 $__________
Active Iowa Member not selling trees $45 $__________
  selling 1 to 500 trees $65 $__________
  selling 500 to 1000 trees $80 $__________
  selling over 1000 trees $90 $__________
Annual fee to have your website URL listed on the ICTGA website add $5.00 $__________
Annual fee to have EXTENDED informatoin on ICTGA website.  See reverse side to enter extended information. add $10.00 $__________
TOTAL amount enclosed for MEMBERSHIP DUES $__________

 

MAKE CHECKS PAYABLE TO ICTGA AND MAIL TO:

ICTGA
C/O JAN PACOVSKY
956 EAST MAIN
NEW HAMPTON, IOWA 50659
641-394-4534
 
 
 

Link to your website from the ICTA website at $5/year.  Payment included on front page?

Your URL link. (eg. www.yourfarmname.com) _______________________________________

Additional information for EXTENDED website at $10/year.  Payment included on front page?

Last Name:_____________________________First Name:_____________________________

Note: Check www.iowachristmastrees.com and make ONLY CORRECTIONS below.  A totally filled out form will be disregarded unless this is a first time use.

Tree types (choose & cut): ______________________________________________________ 

Tree types (wholesale):__________________________________________________________

Directions to farm (use starting point) From:_________________________________________

______________________________________________________________________________

Features (other than listed below):_________________________________________________

______________________________________________________________________________ 

Hours:_________________________________Dates open:_____________________________

Farm amenities (circle those that apply) Saws, Cutting Service, Mechanical Shaking, Baling Service, Tie Down, Restroom, Gift Shop, Santa, Hay Rides, Petting Zoo, Credit Cards, Wreaths, Flocked Trees, Pre-cut Trees, Tree Recycling, Photo Service, Mail Order Wreaths,

Other Amenities:________________________________________________________________