ECA Annual Registration Form  2023

ECA Annual Membership 2023 Form

         FARM NAME: ________________________ 

       Members NAME: ___________________________ 

        ADDRESS: _________________________________ 

                   _________________________________

        PHONE NUMBER: ___________________________ 

          E-MAIL: ____________________________________ 

          WEBSITE LINK (optional):                         

  MEMBERSHIP TYPE:                                      

             (Check Box that Applies)   (To include your farm website on ECA directory)

  _____     INDIVIDUAL                                  $30                           _____   WEBSITE LINK – MEMBER             $10

   _____      FARM-FAMILY                              $40                          ______   WEBSITE LINK – NON-MEMBER $20

    _____       SUPPLIERS                                     $50                                        (Nurseries, Seed, Equipment Suppliers)                                         

Make check to “Exotic Conifer Association” totaling all boxes selected above.

Mail both a completed form and check to:

        Matt Mongin, ECA Treasurer

        2757 Greenridge Circle

        Beavercreek, Ohio   45431