Green Roofs - Living Architecture Monitor - Summer 2012 - (Page C)
GRHC MEMBERSHIP APPLICATION
Date: Address: State/Province: Telephone: Postal/Zip Code: Fax: Name:
For a full list of all membership categories and benefits, or to apply online, please visit www.greenroofs.org/membership.
Company: City: Country: Email:
MEMBERSHIP APPLICATION FOR (PLEASE CHECK ONE):
○ Supporter $55 US ○ Individual GRP ○ Individual $160 US ○ GRP Renewal $207.50 US ○ Individual Affiliate $100 US ○ Corporate (see below)
IF YOU WISH TO BECOME A CORPORATE MEMBER, PLEASE CHOOSE THE MOST APPROPRIATE CATEGORY (IN US DOLLARS): ○ Charitable/Not-for-Profit ($500) ○ Green Walls ($1000) ○ Government & Institutional ($500) ○ Nurseries ($500) ○ Professionals ($500) ○ Manufacturers ($4800)
○ Suppliers of Components ($1500)
○ Distributors & Suppliers ($3500)
PLEASE CHOOSE THE TITLE THAT BEST DESCRIBES YOU OR YOUR ORGANIZATION: ○ Architect ○ Developer ○ Environmental Consultant ○ Landscape Designer/Consultant ○ Policymaker ○ Water Specialist ○ Association Professional ○ Educator ○ Facilities Manager ○ Roofing Consultant ○ Planner ○ Irrigation Designer ○ Biologist ○ Government ○ Horticulturalist ○ Manufacturer or Supplier ○ Researcher ○ Botanist ○ Energy Consultant ○ Consumer ○ Media ○ Student ○ General Contractor ○ Engineer ○ Landscape Architect ○ Not-for-profit ○ Sustainability Manager
○ Other ______________________________________________________
CHOOSE A PAYMENT METHOD
○ MasterCard Name on Credit Card: Credit Card #: Expiry Date (month/year) & 3 Digit Security Code: Signature: ○ I prefer to pay by enclosed (forthcoming) cheque payable to Mail to: Green Roofs for Healthy Cities 406 King Street East, Toronto, Ontario M5A 1L4 Canada Fax: 416-971-9844 Attention: Paul Erlichman ○ Visa
http://www.greenroofs.org/membershiphttp://www.greenroofs.org
Table of Contents for the Digital Edition of Green Roofs - Living Architecture Monitor - Summer 2012