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Last Name *
Title *
Company *
Address *
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Phone*
Fax
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Check all that Apply
Distributor
Manufacturer
Grower
Service Provider
Technology
Financial
Insurance
Other
If Other, Please Specify
What regions do you reach?
(Select the one MOST descriptive of your product distribution)
National (North America)
International
West of Mississippi
East of Mississippi
Regional: Northeast / New England
Regional: Northwest
Regional: MidAtlantic
Regional: Midwest
Regional: Southwest
Regional: Southeast
Local: one or two state area
Describe your business.
How did you hear about us?
Im an ANLA member
I used to be a member
I met someone at a tradeshow
One of my customers suggested that I work with you
Internet search / stumbled onto you
Have you ever attended an ANLA event?
Yes
No
If Yes, What Event?
Who is your target customer? - Check all that Apply
Independent retail garden centers
Landscape design / build / install companies
Growers field
Growers container or greenhouse
Distributors plants and hardscape landscape products
Distributors tools / hardgoods / merchandise
What are you looking to do?
Branding
Product Use & Evaluation
Marketing
Other
If Other, Please Specify
Have you partnered with any other associations in the past?
Yes
No
If yes, who?
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American Nursery & Landscape Association
1000 Vermont Avenue, NW, Suite 300
Washington, DC 20005-4915 USA
Tel: 202-425-4403 Fax: 202-789-1893
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