Application

APPLICATION FOR MEMBERSHIP

(PLEASE PRINT OR TYPE)

Applicant’s Firm Name:

Mailing Address:

Street Address:

E-mail Address:

Web Address:

City:

State:

Zip:

Phone:

In-State Watts:

Out-of-State Watts:

Fax:

Contact:

Title:

Referred by:

Certification Number _______________________________

Membership Categories

ACTIVE MEMBERS - Proprietorship, partnership, or incorporated firms actively engaged in the nursery trade and whose principal place of business is in what is generally described as Middle Tennessee.

(A) FIRMS - Any business entity that holds a valid nursery certificate or plant dealer's license issued by the State of Tennessee, authorizing said firm to do business within the state. Membership is limited to one per firm and the firm must decide which firm member is to vote in its behalf at Association business meetings. Only one vote per member firm is allowed and only Active Members (except the office of Allied Director), or their designated representative may vote and/or hold office.

(B) NURSERY TRADE - Any business entity actively engaged in one or more of the following commercial activities; growing, distribution, or marketing of ornamental or fruit plant materials.

(C) MIDDLE TENNESSEE - The geographic area of Tennessee located east of the Tennessee River, and west of the following boundary: Highway U.S. 127 from the Kentucky border, south to Dunlap; then Highway TN 28 South to Jasper; then Highway TN 27 South to Richard City and the Alabama border.

Active Members agree, as a condition of membership, to be bound by the Code of Ethics of the Middle Tennessee Nursery Association. (Active Membership - $75)

ASSOCIATE MEMBERS - Proprietorship, partnership, or incorporated firms actively engaged in the nursery trade, but whose principal place of business is outside the geographic area of Middle Tennessee. Associate Members must be members in good standing of their respective state nursery associations, and agree, as a condition of membership, to be bound by the same Code of Ethics as are Active Members. Associate Members may not vote or hold office in the Middle Tennessee Nursery Association. (Associate Membership - $75)

ALLIED MEMBERS - Proprietorship, partnership, or incorporated firms from within or without the geographic area of the M.T.N.A., which are engaged in a business or profession that is closely allied with the nursery trade. The determination of which enterprises are closely allied with the nursery trade shall be determined solely by the M.T.N.A. Executive Committee. Allied Members may not vote or hold office except for the Allied Director. (Allied Membership - $75)

EDUCATION, EXTENSION, AND STUDENT MEMBERS - Individuals whose vocation or course of study is connected with horticulture, defined as follows:

(A) EDUCATION AND EXTENSION MEMBERSHIP - This class is limited to those individuals who are employed in teaching, research, or extension work in the area of horticulture or related fields, i.e., plant pathology, entomology, weed science, agronomy, soil science, or the like, and who do not qualify for Active, Associate, or Allied Membership.

(B) STUDENT MEMBERSHIP - Limited to those individuals who are enrolled in a recognized college or university, within or without the state, and whose major course of study, graduate or under-graduate, is in horticulture, and who do not qualify for Active, Associate, or Allied Membership. (Education,Extension and Student Memberships $25).

Please answer the following questions as they apply to your business. Be sure to give accurate and complete information.

Have you ever been a member of the MTNA? Yes No If so, when?

Are you a member of your state nursery association? Yes No

Are you a member of SNA Or AAN ?

Type of membership you are applying for? Refer to Membership Categories

Active Associate Allied Education

CODING SYSTEM FOR MIDDLE TENNESSEE NURSERY ASSOCIATION, INC.

GR – GROWER	RT - RETAIL	LD - LANDSCAPING *
EQ - EQUIPMENT DEALER	SG - SUPPLIER - GOODS	BR - BROKERS *
WH - WHOLESALE	MO - MAIL ORDER	GC - GARDEN CENTER
SY - SALES YARD	SS - SUPPLIER – SERVICES	MF – MANUFACTURER
GH - GREENHOUSE GROWER	GM - GROUNDS MAINTENANCE	TG - TURF GROWER
*Specify Type	*OTHER (specify*	LA-LANDSCAPE ARCHITECT

PRODUCT LINES: Please Circle the numbers that identify your product lines. If your product is not not specified, please list.

1. General (includes 2-14)	19. Roses
2. Container Plants	20. Seedlings - Fruit Trees
3. Evergreens	21. Turf Grass
4. Flowering Shrubs	22. Burlap-Paper-Twine
5. Fruit Trees	23. Chemicals
6. Ground Covers - Vines	24. Computers
7. Hedge Plants	25. Fertilizers
8. Lining Out Stock - Deciduous	26. Greenhouses
9. Lining Out Stock - Evergreens	27. Greenhouse Supplies
10. Nut Trees	28. Horticultural Printers
11. Ornamentals - Flowering Trees	29. Labels
12. Seedlings - Shade, Flowering Trees	30. Machinery & Equipment
13. Shade Trees	31. Mulch Materials
14. Small Fruit & Berry Plants	32. Nursery Supplies
15. Annuals	33. Peat Moss
16. Bulbs	34. Plant Containers
17. Christmas Trees	35. Snow Fence & Shade Cloth
18. Perennials (specify)	36. Landscape Stone
37. Other (Specify)

Company Name:

By:

Date:

Please complete the form and return. We use this information for maps, trade show programs, etc.

MTNA
PO Box 822
McMinnville, TN 37111

(931) 668-7322
(931) 668-9601 fax

email info@mtna.com