Author: ANN BATES

Membership Application
“Leading the Green Industry”

May 1, 2019 through April 30, 2020

Name Of Firm _____________________________________________________________
Business Contact___________________________________________________________
Mailing Address____________________________________________________________
Physical Address (if different)_________________________________________________
City, State, Zip _____________________________________________________________
County ____________________________Web site ________________________________
Phone No. _________________Fax No. _________________E-Mail__________________
Nursery License No. ________________________________________________________
(State Of Idaho Nursery License number required for active members who are engaged in, conduct, or carry on the business of propagating, growing, selling, dealing in, or importing for sale or distribution any nursery or florist stock, or engaging in landscape installation—section 22-2305)
Payments made to INLA are not deductible as charitable contributions for income tax purposes; however, dues may be deductible as an ordinary business expense. Check with your advisor. In accordance with IRS regulations, INLA is required to notify you that 5% of your dues payment may be used for lobbying purposes.

Member Categories:
o Active Member $325
Actively and legally engaged in the Green Industry or allied trade within the state of Idaho.
o Associate Member $325
Actively and legally engaged in the Green Industry or allied trades outside the state of Idaho.
o Secondary Location Member $25
Secondary business locations can be added to allow for separate listings in all INLA publications. Must be same owner for all locations, and after active or associate membership fee paid.
o Friend of Horticulture Member $75
For non-product/service selling business entities such as: city and state government, students,
industry employees and master gardeners.
o Educational Member No Charge
Non-voting members that may include representatives of colleges, universities, technical programs and other interested parties who are devoted to horticulture education and are not actively engaged in the Green Industry trade for profit.
o Horticulture Graduate Member—1st year No Charge
Non-voting members that may include any horticulture student graduating in a horticulture program in one of Idaho’s colleges or universities. Membership good for one year from date of graduation.

Credit card#
o Check enclosed, ck#___________

Expires

Idaho Nursery & Landscape Association, P.O. Box 2065, Idaho Falls, ID 83403
www.inlagrow.org e-mail: abates@inlagrow.org
Ph 208-681-4769 Fax 208-529-0832
Please fill out both sides

Business Classification (For Active and Associate Members Only):
Please choose from the following to describe your business:
PRIMARY Business Type Additional Business Type(s)
(Choose Only One) (Choose as many as apply to your business)
o Arborist/Tree Care o Arborist/Tree Care
o Equipment Dealer o Equipment Dealer
o Florist o Florist
o Greenhouse Grower o Greenhouse Grower
o Indoor Pest Control o Indoor Pest Control
o Insect and Weed Control/Applicator o Insect and Weed Control/Applicator
o Irrigation Contractor o Irrigation Contractor
o Landscape Architect o Landscape Architect
o Landscape Contractor o Landscape Contractor
o Landscape Design o Landscape Design
o Landscape Maintenance o Landscape Maintenance
o Pest Control o Pest Control
o Retail Nursery/Garden Center o Retail Nursery/Garden Center
o Wholesale Grower o Wholesale Grower
o Wholesale Supplier: o Wholesale Supplier:
Products Sold: ____________________ Products Sold: ____________________
o Other__________________ o Other __________________
____________If your primary or additional business type is “other” please write in specifically what it is.
Use this next area ONLY IF you choose wholesale/greenhouse/grower above
mark the Crops you GROW or SELL WHOLESALE
o 1. Bedding Plants o 8. Ground Covers o 15. Sod
o 2. Broadleaf Evergreens o 9. Liners o 16. Other______________
o 3. Christmas Trees o 10. Native Plants
o 4. Conifers o 11. Perennials
o 5. Deciduous Shrubs o 12. Roses
o 6. Foliage & Flowering House Plants o 13. Seedlings
o 7. Fruit Trees o 14. Shade & Flowering Trees

Certifications Your Business Holds:
The following information will be used in publications to market your business.
Please choose from the following certifications you and your employees hold:

o ABPA Certified Backflow Prevention Assembly Tester
o ASLA Registered Consulting
o Certified Low Voltage Lighting Technician
o IA Certified Agricultural Irrigation Specialist (CAIS)
o IA Certified Golf Irrigation Auditor (CGIA)
o IA Certified Irrigation Contractor (CIC)
o IA Certified Irrigation Designer (CID)
o IA Certified Irrigation Technician (CIT)
o IA Certified Landscape Irrigation Auditor (CLIA)
o IA Certified Landscape Irrigation Auditor—Drip (CLIA-Drip)
o IA Certified Landscape Water Conservation Manager (CLWM)
o ICPI Certified Advanced Residential Paver Technician
o ICPI Certified Commercial Paver Technician (CPT)
o ICPI Certified Concrete Paver Installer (CPI)
o ICPI Permeable Interlocking Concrete Pavement Specialist (PICP)
o INLA Certified Nursery Professional (CNP)
o INLA Certified Plant Diagnostician (CPD)
o IPLI Certified
o ISA Board Certified Master Arborist
o ISA Certified Arborist
o ISA Certified Arborist Utility Specialist
o ISA Certified Arborist/Municipal Specialist
o ISA Certified Tree Worker
o ISA Certified Tree Worker Aerial Specialist
o ISA Certified Tree Worker Climber Specialist
o ISA Tree Risk Assessment Qualified
o NALP Landscape Industry Certified Manager
o NALP Landscape Industry Certified Technician
o NALP STARS Certification
o NCMA Certified Segmental Retaining Wall Installer
o Oregon Landscape Construction Professional
o Oregon Licensed Landscaper
o Other ______________________