Application for Membership

LCIS customers do not need to apply or pay for Co-Op membership.
For more information call (800) 628-8735.

Complete and submit this form to enjoy the benefits of Green Industry Co-Op Membership and access our private Members Only Forum.
First Name*
Last Name*
Company Name*
Type of green industry business*
- Landscape Contractor
- Tree Trimmer
- Nursery Owner
# of Employees
Contractors License (where applicable)
Address*
Street Address Address Line 2 City State ZIP Code
Website Address
Email*
Best Phone*
Choose a User Name to access the Members only Forum*

Must be a minimum of 4 or more characters. You can use upper and lower case letters and numbers.
Enter your password*
Enter Password Confirm Password

Strength indicator

We require strong passwords: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).
Your annual membership dues*
Price: