PIA Membership Application

Membership Registration:

Please fill in the membership application below. If you have any questions please email pia@piagrows.org or call 707-462-2276.


Please Note
1) Company membership is based on the total number of employees in your interiorscape division within your company or branch, whether or not each will attend PIA meetings or Plantscape Expo. 2) For Interiorscape Companies membership category: Use "man-hour equivalents" for all part time employees. Example: 2 part-time employees @ 20 hours per week each = 1 employee.
Please select your membership category:
Interiorscape Companies		Total
0 - 5 Employees	$225	$
6 - 12 Employees	$325	$
13 - 25 Employees	$395	$
26+ Employees	$495	$
Outside US Interiorscape Co. see below
If paid by check...	$240	$
If paid by credit card....	$225	$
All Allied Trade Companies
All Sizes	$355	$
Outside US Allied Trade see below
If paid by check...	$370	$
If paid by credit card....	$355	$
Allied Trade Members: Please click here to download the Buyer's Guide Survey.
Special Membership Categories
Qualified Educator	$0	$
Full Time Student	$50	$
Individual (non-owner)	$150	$
Allied Industry	$168	$
--- Organization - If you are an organization and would like to become a member, please contact the PIA Office via phone (707-462-2276), fax (707-463-6699), or email.

Regional affiliation and industry classification:

Please state your primary service areas by state, county, and city:

Does your company provide services or materials for:

Floral
Holiday & Special Events
Patioscaping
Lawn & Landscaping
In House Company
Interiorscape
Rooftop Gardens

Yes! We have a licensed pesticide applicator on staff and are interested in Continuing Education hours.


Green Plants for Green Buildings (Formerly Plants at Work)
Yes! I would like to support the "Green Plants for Green Buildings" campaign:		$
This gift will be combined with others made during the PIA membership renewal period and does not constitute a GPGB supportership.

Website Options
PIA makes it easy for you to have a presence on the Internet. Listing on the Online Membership Directory is included with membership. There are 2 additional options available for being included in PIA's Online Directory: Option A: Email link, $59 per year. Includes company name, address and telephone/fax and an email link that will allow a potential customer to send a direct email to you. (Note: If monthly installments are used, the full $59 will be charged with first monthly installment.) Option B: Email link + website link, $250 per year ($20.84 per month). Includes Option A plus a link to your company's website.
		Total
None
OPTION - A - Yearly	$59	$
OPTION - B - Yearly	$250	$

	Total Fees:	$


Newsletter Options
Please indicate below the names and email addresses of the additional persons to receive PIA News.
Name 1
Email
Name 2
Email
Name 3
Email
Name 4
Email

How should PIA contact you?
As a member of PIA, you will receive faxes and emails with information on industry events.

Please check all that apply:
I prefer to receive program information via email.
I prefer to receive program information via fax.
Do not send me faxes.
Do not send me emails.
Do not publish my email address in the membership directory.


Please check areas of interest:
Plantscaping Companies		Allied Trade Companies
Awards Program		Exhibiting/Sponsoring CalScape Expo
Seminars for Interiorscapers		Education Program Sponsorship
Hall of Fame		*PIA News* Sponsorship
PIA Cares		Hall of Fame

PIA shares its membership mailing list from time to time. May PIA include you on this mailing list? Yes No


New Membership Options
Let’s Grow Green Together! For companies renewing their membership by credit card, PIA is offering membership auto-renewal and installment plan options. If you check one of these options, next year you will be sent a reminder email with an “opt-out” option and if we do not hear from you, your membership will automatically renew and be charged to your credit card. If you are signed up for the monthly installment plan, your credit card will be charged each month. When taking advantage of either of these options, your membership is for 12 months, beginning the month in which you sign up. Save paper, save postage, save a tree. Yes! Count me in! Sounds convenient and pro-environment! Sign me up for auto renewal. Yes! Count me in! Sign me up for monthly installments. I understand this will also enroll me in the auto renewal option.

Contact and Payment Information

Name
Credentials
Company
Address
City		Please include your Fax and Email so that we may send you a confirmation and additional information regarding your PIA membership.
State & Zip	,
Phone
Fax
Email
Website
Card Type		*Please Note:
Card Number		The security code is the last 3 digits on the back of the VISA, MC, and Discover, and the 4 digits on the front of an AMEX that are not a part of the card number.
Expiration Date
Security Code*
Name on Card
Billing Address (If different from above.)

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