2008
Membership Application
Member Name (Company or Individual): _________________________________________________________
If Company List Contact Name:
_________________________________________________________________
If Individual List Company or School Associated With _______________________________________________
Street Address
________________________________________________________________________________
Mailing Address (if different)_____________________________________________________________________
Phone (with area code) __________________________________
Fax ___________________________________
800# _______________________________________ e-mail
___________________________________________
MEMBER CLASSIFICATION
(please check the category that applies to you)
ð Active Membership ð
Additional Shop (with same owner)
Annual Dues
- $99.00 Annual Dues - $50.00
ð Retail Shop
ð
Employee of a
Retail Shop ð Associate
Membership
ð Freelance Floral Designer
Annual Dues - $50.00
ð School or University ð Individual
Retired from Floral Industry
ð Wholesale Supplier ð Floral Instructor
ð Grower ð Floral Student (must submit valid ID #)
ð Wire Service Student
ID # ______________________
Active Members and Additional Shop
Members have voting rights and can serve on the Board of Directors.
Associate Members have voting rights but
cannot serve on the Board of Directors.
All membership dues include a $40
subscription to the quarterly ISFA Bulletin.
PAYMENT OPTIONS:
Check __________ Cash__________ Master Card or Visa __________ OR
You
may pay your dues online using your credit card.
Go
to www.illinoisflorists.org,
click on membership and membership online.
Name on Card (please print):
___________________________________________________________
Card Number:
_________________________________________ Exp. Date:
___________________
Signature: ___________________________________________________________________________
Return To: ISFA
c/o Rosalind Bloome,