AMTOP Membership
Application Form
(This information
will be included in the Membership Directory)
Company Name:
______________________________________________
Contact Person:
_________________________Title: _________________
Address:
_____________________________________________________
City:
__________________________ State: ____________ Zip: _________
Phone &
Fax:____________________________ E-mail: _______________
Segment of Industry:
_____ Sod _____ Fertilizer Chemicals_____ Large
Equipment _____ Lawn Care
_____ Tree Care_____ Sports
Turf _____ Spray Equipment _____
Lighting
_____ Irrigation _____ Nursery _____ Stone/Hardscape _____ Trucks & trailers
_____ Mowers & Power
Equipment _____ Business Services _____ Decorative items
_____
Garden Center _____ Hydro seeding _____ Pest Control
_____
Pesticide Applicator ____ Other
Regular
Membership: $95.00
Any person, firm,
partnership or
Corporation,
including employees.
Associate
Membership: $50.00
Any person, firm,
partnership or
Corporation,
including employees,
not involved in the
actual application of pesticides.
Corporate Membership: $800.00
Any firm, partnership or corporation in the
business of providing services and/or materials
to AMTOP members.
Total Enclosed
for Membership: $_______
Make checks payable
to AMTOP, P.O. Box 4518, Helena, MT 59604