Make checks payable to HAT. If after December 1, please pay for a whole year, as you will be credited for the next years' membership.

Your membership will be processed, and you will receive a confirmation.

Individual Name: __________________________________________

Company Name: ___________________________________________

Address: ________________________________________________

City/State/Zip: ___________________________________________

Phone: Bus: (____)_______________ Home : (____)__________________

FAX: (____)___________________ Email: ______________________________

Website: _________________________________

The information below is used in compiling the Membership Directory, and in your listing on our website. This is an opportunity to include you in a business network.

Type of business/product . Check all that apply to you:

% of Business: Retail: ____ Wholesale: ____ Are you a member of Go Texan? Y N

_______Grower	_______Certified Organic	_______Ornamentals	_______Container
_______Florist	_______Food Products	_______Fresh Cut	_______Nursery
_______Restaurant	_______Field Grown	_______Health/Medicinal	_______Gifts
_______Crafts	_______Dried/Preserved	_______Packaged Herbal Products	_______Mail Order. Do you ship plants? Y N
_______Broker	_______Educator

Other: ________________________________________________

Do you supply?:

_______Texas Only

_______Texas & Out of State

_______Out of State Only

Voting Status: 2 members per Texas business are eligible to vote.

Voting Member # 1 __________________________________________________
Voting Member # 2 __________________________________________________
Non- Voting Members:
3rd Member of business__________________________________________________

Each NON-BUSINESS MEMBER is allowed one vote each