LCA: Membership Application

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Membership Types:

Regular
Any person, firm, partnership or corporation actively engaged in landscape installation, maintenance, design or consulting.

Associate
An individual, firm, partnership or corporation that supplies products or services to the landscape industry, but does not engage in the competitive practice of landscape contracting.

Affiliate
Any individual or organization that is involved in or related to the landscape industry, but does not provide landscape services or products on a competitive basis.

Educational Institution
Any school or department of higher learning related to the landscape industry.

Satellite Membership
Available to members who have more than one location. Branch will be listed in membership directory and will receive all mailings.

All fields with an asterisk (*) are required.

Firm:*
Address:*
City/State/Zip:*
Phone number:*
Fax number:
Email address:*
Contact Person First Name:*
Contact Person Last Name:*
Website

	Please indicate the job size you will accept:*
	under $5K
	$5K to $10K
	$10K to $20K
	over $20K

$475 Associate (Suppliers)

Please list the products and services you provide:

$250 Affiliate

$150 Educational Institution

$125 Satellite (per branch)

Number of Satellites:

Maryland Members: Please ADD 15% surcharge to support LCA's participation in the Maryland Green Industry Council and its work in the legislative area.

Payment type: Credit Card

If you wish to pay by check, please fill out this form, print, and mail with your check payable to:

Landscape Contractors Association
9707 Key West Avenue, Suite 100
Rockville, MD 20850

Credit Card Type: *
Card Number: *
Expiration Date: *	(example: 02/10)
Name on Card First: * Last: *
Billing Address: *
City/State/Zip: *