Please print off this form, complete it, and return
it to:
CGHVPANA
c/o D. Hammon
4084 Salt Spring Drive
Ferndale, WA 98248
Please make payments
to: CGHVPANA
Name of Person (proprietorship): ________________________________________OR
Name
of Company: ____________________________________________________
Contact Person for Company:
_______________________________________
Other Company Contact Person(s): _____________________________________________
Address:
________________________________________
_______________________________________
Zip or Postal Code: _________________
Telephone
Number: ___________________________
Facsimile Number: ____________________________
Email: ______________________________________
By signing this initial membership application I/ we indicate that the Membership Policy of the
Certified Greenhouse/Hothouse Vegetable Producers Association of North America (CG/HVPANA) has been read and is understood;
attest that all greenhouse/hothouse operations meet the greenhouse/hothouse definition at the time of initial membership application;
and provide standing consent to the Association to inspect any or all greenhouse/hothouse operations to verify that they meet
the greenhouse/hothouse definition at all times.
Name: ________________________________________
Print Name
________________________________________________________
Signature of Proprietor or Authorized Company Representative
Dated this ____ day of _________, 200__ at ___________________________
(month)
(location where signed)
The Certified Greenhouse/Hothouse Vegetable Producers Association of North America reserves the right
not to approve an application should the applicant fail to meet the membership criteria or to pay the $2,000 initial membership
fee.
Greenhouse/Hothouse Definition
Regardless of location, the
entirety of the applicant’s vegetable production area is to originate from a fully enclosed permanent aluminum or steel
structure clad either in glass or impermeable plastic for the controlled environmental growing of certified greenhouse/hothouse
vegetables using together computerized irrigation and climate control systems, including heating and ventilation capability;
grown in a soilless medium that substitutes for soil (under the greenhouse/hothouse); in hydroponic methods;
Integrated Pest Management
and without the use of herbicides.
Greenhouse/Hothouse Location(s): ________________________________________
List Greenhouse/Hothouse Operations/Facilities:
United States of America
Canada
United States of Mexico
Other
[If more convenient
prepare a separate document and attach it to the application]
