GWA Idividual Membership Application

Warning: This form is for new memberships only and not intended for membership renewals.

As part of your application, please indicate briefly how you would describe your GWA affiliation: i.e. Photographer, have a weekly gardening column in the New York Observer. (25 words or less please)

Personal Information:
*required information

Mr, Ms,Mrs:

*First Name:

Middle Initial:

*Last Name:

Organization:

Your Title:

*Street Address:

*City, State, Zip Code:

*E-Mail Address:

Your Website:

*Home Phone Number:

*Office Phone Number:

Fax Number:

Primary Job Description:

Select up to 4 job descriptions and list them in the order of importance.

A. Author of Books
B. Staff Editor, Newspaper or Magazine
C. Staff Columnist
D. Editor/Staff, Hort. Newsletter
E. Syndicated Columnist
F. Freelance Writer
G. Freelance Writer/Photographer
H. Horticultural Consultant
I. Owner/Exec. in Hort. Business
J. Sales Executive in Horticulture
K. Advertising or Public Relations
L. Catalog Design/Production
M. Executive for Horticultural Org.
N. Host Radio

O. Host Television
P. Producer Radio or Television
Q. Artist / Illustrator
R. Horticultural Photographer
S. Extension Specialist
T. Teacher
U. Staff, Arboretum/Botanical Garden
V. Government Agency
W. Research
X. Retired
Y. Lecturer
Z. Landscape Designer
A1. Landscape Architect
A2. Other:

Specialties or Areas of Expertise:

Select up to 6 specialties and list them in the order of importance.

1. General Gardening
2. Vegetables
3. Annual Flowers
4. Perennials
5. Bulbs
6. Ornamentals
7. Trees
8. Fruits
9. Roses
10. Tropical Plants
11. Lawn & Turf
12. Evergreens
13. Vines & Ground Covers
14. Wildflowers
15. House Plants /Foliage
16. Bonsai
17. Flower Arranging
18. Landscape Design
19. Soils
20. Fertilizer

21. Insects & Diseases
22. Hort. Chemicals
23. Plant Propagation
24. Food Preservation
25. Herbs
26. Cacti / Succulents
27. Greenhouses
28. Irrigation
29. Conservation
30. Hort. Therapy
31. Agronomy
32. Plant Breeding
33. Botany
34. Entomology
35. Winter Gardening
36. Topiary
37. Organic Gardening
38. Community Gardens
39. Native Plants
40. Other:

(optional) Name the existing GWA member who is sponsoring your application for membership.

Print the names and type of publications in which examples of your work have appeared.

(Optional) Please Round Up and support the GWA Foundation with a tax deductible donation.

Your Membership Application Will Be Processed After Payment Is Received.