Mail to: 383 Coal Hollow Rd Christiansburg, VA 24073-6721
540-382-0943 Email: info@VirginiaGreen.org Membership Application/Invoice Organization/Company Name: ___________________________________________________ Contacts Name: ______________________________________________________________ Address: ____________________________________________________________________ City: ___________________________________________ St: _____ Zip: __________-______ Office Phone: (____) _____-_____________ Home Phone: (____) ______-________________ FAX: (____) ______-______________ E-mail:____________________________@_________ General Industry Membership for Associations [___]* Minimum Annual Dues............. ....................... $50 _________ [___]* _______ # of members X $1.00 (Maximum $250) = _________ * Required Dues, maximum total of $300 (This dues category is for Horticulture and Related Trade Associations. Minimum Dues are $50, plus one Dollar for each member of your group, up to 250 members) Businesses and Individuals _____Private Business’ ....................... $50 _________ _____Individuals/Extension/Educators/Students .......... $12 _________
(This dues category is for individuals and commercial businesses who are interested in supporting the Virginia Green Industry) Sponsorships: (Optional Levels for All of the above categories) ______Bronze $500-$999.............................. _________ ______Silver $1,000 - $2,499...................... _________ ______Gold $2,500 - $4,999...................... _________ ______Platinum $5,000 and up....................... .. _________ Total Dues Enclosed: $___________ Our dues are based on a calendar year, January 1 - December 31. Champions of the Environment - Unifying Virginia’s Green Industry! |