www.azlca.com
Open in
urlscan Pro
3.21.107.74
Public Scan
URL:
https://www.azlca.com/membership-application
Submission: On July 09 via manual from US — Scanned from DE
Submission: On July 09 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: infoform —
<form name="infoform" id="infoform">
<div id="application" class="max-width-sm">
<div class="table">
<h2>Primary Contact</h2>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="fname_lbl">First Name</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="fname" id="fname" class="input required" maxlength="25" value="">
</div>
<div class="col-xs-12 col-sm-3"><label id="lname_lbl">Last Name</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="lname" id="lname" class="input required" maxlength="35" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="email_lbl">Email</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="email" id="email" class="input required" maxlength="125" value="">
</div>
<div class="col-xs-12 col-sm-3"><label id="phone_lbl">Mobile Phone</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="phone" id="phone" class="input required" maxlength="20" value="">
</div>
</div>
<div class="clear"> </div>
<br>
<h2>Password</h2>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="password_lbl">Password</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="password" name="password" id="password" class="input required" maxlength="16">
</div>
<div class="col-xs-12 col-sm-3"><label id="pasword2_lbl">Re-enter</label> <span class="req">*</span></div>
<div class="col-xs-12 col-sm-3">
<input type="password" name="password2" id="password2" class="input required" maxlength="16">
</div>
</div>
<div class="clear"> </div>
<br>
<h2>Company</h2>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_name_lbl">Company Name</label></div>
<div class="col-xs-12 col-sm-9">
<input type="text" name="co_name" id="co_name" class="input-long " maxlength="100" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_roc_license_lbl">ROC License</label></div>
<div class="col-xs-12 col-sm-9">
<input type="text" name="co_roc_license" id="co_roc_license" class="input-long " maxlength="10" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_address_lbl">Address</label></div>
<div class="col-xs-12 col-sm-9">
<input type="text" name="co_address" id="co_address" class="input-long " maxlength="50" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_city_lbl">City</label></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="co_city" id="co_city" class="input " maxlength="35" value="">
</div>
<div class="col-xs-12 col-sm-3"><label id="co_state_fk_lbl">State</label></div>
<div class="col-xs-12 col-sm-3">
<select name="co_state_fk" id="co_state_fk" tab_index="0" class="">
<option value="" selected="selected">Select...</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_zip_lbl">Zip</label></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="co_zip" id="co_zip" class="input " maxlength="5" value="">
</div>
<div class="col-xs-12 col-sm-3"><label id="co_fax_lbl">Fax</label></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="co_fax" id="co_fax" class="input" maxlength="20" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_phone_lbl">Office Phone</label></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="co_phone" id="co_phone" class="input " maxlength="20" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_website_lbl">Website</label></div>
<div class="col-xs-12 col-sm-9">
<input type="text" name="co_website" id="co_website" class="input-long" maxlength="125" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3"><label id="co_emp_lbl">Avg # Employees</label></div>
<div class="col-xs-12 col-sm-3">
<input type="text" name="co_emp" id="co_emp" class="input" value="">
</div>
</div>
<div class="row">
<div class="col-xs-12">
<p>Please provide a brief description of your organization:</p>
</div>
</div>
<div class="row">
<div class="col-xs-12">
<textarea id="co_description" name="co_description"></textarea>
</div>
</div>
<div class="clear"> </div>
<br>
<h2>Project and/or Service Types</h2>
<div class="two-column-flow">
<div class="service_type">
<input type="checkbox" name="service_44" value="1"> Arborist - Certified
</div>
<div class="service_type">
<input type="checkbox" name="service_57" value="1"> Artificial Turf Installation
</div>
<div class="service_type">
<input type="checkbox" name="service_46" value="1"> Backflow Services
</div>
<div class="service_type">
<input type="checkbox" name="service_1" value="1"> BBQ Supplies, Fire Pits, Fireplaces
</div>
<div class="service_type">
<input type="checkbox" name="service_2" value="1"> Boulder/Granite-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_3" value="1"> Cacti/Succulents-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_4" value="1"> Chemicals-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_5" value="1"> Color/Ground Covers/Shrubs-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_48" value="1"> Compost and Mulch Producer
</div>
<div class="service_type">
<input type="checkbox" name="service_49" value="1"> Consulting Business
</div>
<div class="service_type">
<input type="checkbox" name="service_6" value="1"> Curbing
</div>
<div class="service_type">
<input type="checkbox" name="service_43" value="1"> Education/Risk Management
</div>
<div class="service_type">
<input type="checkbox" name="service_50" value="1"> Employee Benefits
</div>
<div class="service_type">
<input type="checkbox" name="service_7" value="1"> Equipment Sales/Rentals
</div>
<div class="service_type">
<input type="checkbox" name="service_45" value="1"> Fertilizer - Organic
</div>
<div class="service_type">
<input type="checkbox" name="service_8" value="1"> Financial
</div>
<div class="service_type">
<input type="checkbox" name="service_9" value="1"> Garden Centers
</div>
<div class="service_type">
<input type="checkbox" name="service_51" value="1"> GPS Tracking
</div>
<div class="service_type">
<input type="checkbox" name="service_10" value="1"> Hardscape Installation
</div>
<div class="service_type">
<input type="checkbox" name="service_11" value="1"> Horticulture Consultant
</div>
<div class="service_type">
<input type="checkbox" name="service_12" value="1"> Insurance
</div>
<div class="service_type">
<input type="checkbox" name="service_13" value="1"> Interior Plantscaping
</div>
<div class="service_type">
<input type="checkbox" name="service_14" value="1"> Irrigation Construction/Repair
</div>
<div class="service_type">
<input type="checkbox" name="service_15" value="1"> Irrigation Manufacturer
</div>
<div class="service_type">
<input type="checkbox" name="service_16" value="1"> Irrigation Supplier
</div>
<div class="service_type">
<input type="checkbox" name="service_17" value="1"> Landscape Architect
</div>
<div class="service_type">
<input type="checkbox" name="service_18" value="1"> Landscape Commercial Construction
</div>
<div class="service_type">
<input type="checkbox" name="service_20" value="1"> Landscape Commercial Design
</div>
<div class="service_type">
<input type="checkbox" name="service_25" value="1"> Landscape Commercial Maintenance
</div>
<div class="service_type">
<input type="checkbox" name="service_22" value="1"> Landscape Lighting Installation
</div>
<div class="service_type">
<input type="checkbox" name="service_23" value="1"> Landscape Lighting Manufacturer
</div>
<div class="service_type">
<input type="checkbox" name="service_24" value="1"> Landscape Lighting Supplier
</div>
<div class="service_type">
<input type="checkbox" name="service_27" value="1"> Landscape Material Supplier
</div>
<div class="service_type">
<input type="checkbox" name="service_19" value="1"> Landscape Residential Construction
</div>
<div class="service_type">
<input type="checkbox" name="service_21" value="1"> Landscape Residential Design
</div>
<div class="service_type">
<input type="checkbox" name="service_26" value="1"> Landscape Residential Maintenance
</div>
<div class="service_type">
<input type="checkbox" name="service_28" value="1"> Legal
</div>
<div class="service_type">
<input type="checkbox" name="service_52" value="1"> Marketing
</div>
<div class="service_type">
<input type="checkbox" name="service_29" value="1"> Masonry/Paving
</div>
<div class="service_type">
<input type="checkbox" name="service_53" value="1"> Merchant Services
</div>
<div class="service_type">
<input type="checkbox" name="service_30" value="1"> Nursery
</div>
<div class="service_type">
<input type="checkbox" name="service_55" value="1"> Outdoor Audio Products
</div>
<div class="service_type">
<input type="checkbox" name="service_31" value="1"> Paver Supplier
</div>
<div class="service_type">
<input type="checkbox" name="service_54" value="1"> Payroll Labor
</div>
<div class="service_type">
<input type="checkbox" name="service_56" value="1"> Payroll Services
</div>
<div class="service_type">
<input type="checkbox" name="service_32" value="1"> Pest Control Applicator
</div>
<div class="service_type">
<input type="checkbox" name="service_33" value="1"> Pottery-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_34" value="1"> Rock/Gravel-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_35" value="1"> Sod/Turf-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_36" value="1"> Swimming Pool/Spa Installation
</div>
<div class="service_type">
<input type="checkbox" name="service_37" value="1"> Synthetic Grass Supplier
</div>
<div class="service_type">
<input type="checkbox" name="service_38" value="1"> Tree Relocation
</div>
<div class="service_type">
<input type="checkbox" name="service_39" value="1"> Tree Trimming/Removal
</div>
<div class="service_type">
<input type="checkbox" name="service_40" value="1"> Trees/Palms-Wholesale
</div>
<div class="service_type">
<input type="checkbox" name="service_41" value="1"> Truck/Vehicle Sales
</div>
<div class="service_type">
<input type="checkbox" name="service_42" value="1"> Water Feature Installation
</div>
</div>
<div class="clear"> </div>
<h2>Membership Type</h2>
<p>New Membership applications are prorated after April 10th. New Membership applications received after September 1st will pay the full dues amount and the membership will continue through the following year.</p>
<div class="row">
<div class="col-xs-10 col-xs-offset-1">
<br>
<div class="type_item">
<h4>Contractor/Affiliate</h4>
</div>
<div class="type_item note">
<p>Person, firm, partnership or corporation is actively engaged in the design, construction or maintenance of landscapes.</p>
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="1" onclick="loadProratedDues('1');"> $275.00 - Contractor Class 1 (Annual sales revenue under $100,000)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="2" onclick="loadProratedDues('2');"> $370.00 - Contractor Class 2 (Annual sales revenue $100,001 - $500,000)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="3" onclick="loadProratedDues('3');"> $580.00 - Contractor Class 3 (Annual sales revenue $500,001 - $1.5M)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="4" onclick="loadProratedDues('4');"> $880.00 - Contractor Class 4 (Annual sales revenue Over $1.5M)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="9" onclick="loadProratedDues('9');"> $275.00 - Architects & Designers
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="10" onclick="loadProratedDues('10');"> $150.00 - Municipalities, golf courses, ACLP students & Educators
</div>
<div class="clear"></div>
<br>
<div class="type_item">
<h4>Associate</h4>
</div>
<div class="type_item note">
<p>Person, firm, partnership or corporation is actively engaged in a business or industry allied with the landscape industry.</p>
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="5" onclick="loadProratedDues('5');"> $550.00 - Associate Class 1 (Annual sales revenue under $1M)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="6" onclick="loadProratedDues('6');"> $715.00 - Associate Class 2 (Annual sales revenue $1M - $5M)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="7" onclick="loadProratedDues('7');"> $880.00 - Associate Class 3 (Annual sales revenue $5M - $10M)
</div>
<div class="type_item typeDisable">
<input type="radio" name="type" value="8" onclick="loadProratedDues('8');"> $1,100.00 - Associate Class 4 (Annual sales revenue Over $10M)
</div>
<div class="clear"></div>
</div>
</div>
<div class="clear"> </div>
<div class="row">
<div class="col-xs-12">
<h2>Payment Method</h2>
</div>
</div>
<div class="row">
<div class="col-xs-10 col-xs-offset-1">
<div class="type_item">
<input type="radio" name="payment" value="cc" class="app_payment"> Credit Card
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12">
<div class="clear"> </div>
<div id="cc-form">
<div id="cc_form">
<div class="row">
<div class="col-sm-12">
<h2>Billing Information</h2>
</div>
</div>
<span id="billing_same_as">
<div class="row">
<div class="col-sm-12">
<p><input type="checkbox" id="billing_same"> Billing address is the same as my company address.</p>
</div>
</div>
</span>
<div class="row">
<div class="col-sm-4">
<label id="cc_type_lbl" for="cc_type">Card Type</label> <span class="req">*</span>
</div>
<div class="col-sm-4">
<select name="cc_type" id="cc_type" class="cc_req">
<option value="">Select...</option>
<option value="Visa">Visa</option>
<option value="MasterCard">MasterCard</option>
<option value="Discover">Discover</option>
<option value="Amex">Amex</option>
</select>
</div>
<div class="col-sm-4">
<img class="cc_accepted" src="https://www.azlca.com/images/old/cc_visa.png" alt="Visa Accepted">
<img class="cc_accepted" src="https://www.azlca.com/images/old/cc_master.png" alt="Mastercard Accepted">
<img class="cc_accepted" src="https://www.azlca.com/images/old/cc_amex.png" alt="American Express Accepted">
<img class="cc_accepted" src="https://www.azlca.com/images/old/cc_discover.png" alt="Discover Accepted">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="cc_number_lbl" for="cc_number">Number</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" class="input cc_req" id="cc_number" name="cc_number" value="" maxlength="16" onkeypress="return isInteger(event);">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="cc_ccv_lbl" for="cc_ccv">CCV Code</label> <span class="req">*</span></div>
<div class="col-sm-4">
<input type="text" name="cc_ccv" id="cc_ccv" value="" class="input short cc_req" maxlength="4" onkeypress="return isInteger(event);">
</div>
<div class="col-sm-4"> <p><a id="ccv_whatis" href="https://www.azlca.com/images/old/cc-ccv-whatis.gif" class="highslide" onclick="return hs.expand(this)">What's this?</a></p>
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="Month_lbl"><span id="Year_lbl">Expiration</span></label> <span class="req">*</span></div>
<div class="col-sm-8 date-select" "="">
<select name=" Month" id="cc_exp_month" class="cc_req">
<option value="">...</option>
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
<select name="Year" id="cc_exp_year" class="cc_req">
<option value="">...</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
</select>
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_fname_lbl" for="billing_fname">First Name</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" name="billing_fname" id="billing_fname" value="" class="input short cc_req" maxlength="25">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_lname_lbl" for="billing_lname">Last Name</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" name="billing_lname" id="billing_lname" value="" class="input short cc_req" maxlength="35">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_addr1_lbl" for="billing_addr1">Address</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" name="billing_addr1" id="billing_addr1" value="" class="input short cc_req" maxlength="55">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_city_lbl" for="billing_city">City</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" name="billing_city" id="billing_city" value="" class="input short cc_req" maxlength="40">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_state_fk_lbl" for="billing_state_fk">State</label> <span class="req">*</span></div>
<div class="col-sm-8">
<select name="billing_state_fk" id="billing_state_fk" tab_index="0" class="cc_req">
<option value="" selected="selected">Select...</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="billing_zip_lbl" for="billing_zip">Zip</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="text" name="billing_zip" id="billing_zip" value="" class="input short cc_req" maxlength="5" onkeypress="return isInteger(event);">
</div>
</div>
<div class="row">
<div class="col-sm-4"><label id="terms_lbl" for="terms">Terms</label> <span class="req">*</span></div>
<div class="col-sm-8">
<input type="checkbox" name="terms" id="terms" value="1" class="cc_req"> I agree to the <a href="https://www.azlca.com/Terms-And-Conditions" target="_blank">Terms and Conditions</a>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="clear"> </div>
<h4>Membership Dues: <strong><span id="dues_total">Select Membership Type</span></strong>
</h4>
<br>
<h2>Submit Application</h2>
<p>I hereby agree to pay the selected amount for my membership type and tier.</p>
<p>
<button type="button" id="submit" class="image-button process" onclick="submitApplication('');">Process Payment </button>
<img id="indicator" src="https://www.azlca.com/images/old/indicator.gif" style="display: none;">
<input type="hidden" name="renewal" value="0">
<input type="hidden" name="member_fk" value="">
</p>
</div>
</div>
</form>Text Content
Member Sign In Become a Member Sign In Membership Calendar Training MORE * Home Home * Home * Board Members * Sponsors * Contact Us * Membership Membership * Membership * Membership Application * Renew Membership * Benefits * dashboard * Calendar * Training and Certification Training and Certification * Training and Certification * AZ Certified Landscape Professional (ACLP) * ALCA Certified Irrigation Technician (ACIT) * Sustainable Landscape Management® (SLM®) * Drought Preparedness * Pre-Certification Applicator (PMD) Training * Business Seminars * Programs Programs * Programs * Excellence in Landscaping Awards * Mixers * Golf Tournament * Trade Show * Scholarships * Resources Resources * Resources * ALCA Influence Magazine * Safety Tips * Volunteer Instructors * ALCA Sustainable Landscape Management®: Design, Co * ALCA's Plant Pruning Schedule * Landscaping Tips * Jobs & Resumes * Photo Gallery * Request For Proposal (RFP) Form * Advocacy * Video Gallery * 602.626.7091 602.626.7091 MEMBERSHIP APPLICATION -------------------------------------------------------------------------------- PRIMARY CONTACT First Name * Last Name * Email * Mobile Phone * PASSWORD Password * Re-enter * COMPANY Company Name ROC License Address City State Select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Fax Office Phone Website Avg # Employees Please provide a brief description of your organization: PROJECT AND/OR SERVICE TYPES Arborist - Certified Artificial Turf Installation Backflow Services BBQ Supplies, Fire Pits, Fireplaces Boulder/Granite-Wholesale Cacti/Succulents-Wholesale Chemicals-Wholesale Color/Ground Covers/Shrubs-Wholesale Compost and Mulch Producer Consulting Business Curbing Education/Risk Management Employee Benefits Equipment Sales/Rentals Fertilizer - Organic Financial Garden Centers GPS Tracking Hardscape Installation Horticulture Consultant Insurance Interior Plantscaping Irrigation Construction/Repair Irrigation Manufacturer Irrigation Supplier Landscape Architect Landscape Commercial Construction Landscape Commercial Design Landscape Commercial Maintenance Landscape Lighting Installation Landscape Lighting Manufacturer Landscape Lighting Supplier Landscape Material Supplier Landscape Residential Construction Landscape Residential Design Landscape Residential Maintenance Legal Marketing Masonry/Paving Merchant Services Nursery Outdoor Audio Products Paver Supplier Payroll Labor Payroll Services Pest Control Applicator Pottery-Wholesale Rock/Gravel-Wholesale Sod/Turf-Wholesale Swimming Pool/Spa Installation Synthetic Grass Supplier Tree Relocation Tree Trimming/Removal Trees/Palms-Wholesale Truck/Vehicle Sales Water Feature Installation MEMBERSHIP TYPE New Membership applications are prorated after April 10th. New Membership applications received after September 1st will pay the full dues amount and the membership will continue through the following year. CONTRACTOR/AFFILIATE Person, firm, partnership or corporation is actively engaged in the design, construction or maintenance of landscapes. $275.00 - Contractor Class 1 (Annual sales revenue under $100,000) $370.00 - Contractor Class 2 (Annual sales revenue $100,001 - $500,000) $580.00 - Contractor Class 3 (Annual sales revenue $500,001 - $1.5M) $880.00 - Contractor Class 4 (Annual sales revenue Over $1.5M) $275.00 - Architects & Designers $150.00 - Municipalities, golf courses, ACLP students & Educators ASSOCIATE Person, firm, partnership or corporation is actively engaged in a business or industry allied with the landscape industry. $550.00 - Associate Class 1 (Annual sales revenue under $1M) $715.00 - Associate Class 2 (Annual sales revenue $1M - $5M) $880.00 - Associate Class 3 (Annual sales revenue $5M - $10M) $1,100.00 - Associate Class 4 (Annual sales revenue Over $10M) PAYMENT METHOD Credit Card BILLING INFORMATION Billing address is the same as my company address. Card Type * Select... Visa MasterCard Discover Amex Number * CCV Code * What's this? Expiration * ... January February March April May June July August September October November December ... 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 First Name * Last Name * Address * City * State * Select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Terms * I agree to the Terms and Conditions MEMBERSHIP DUES: SELECT MEMBERSHIP TYPE SUBMIT APPLICATION I hereby agree to pay the selected amount for my membership type and tier. 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