Type of Application: (Select One)
MSFGA Application
Professional Certified Florist Program (Members Only)
Maine Master Floral Design School (Members Only)

Business Name : 

First Name: 

Last Name: 

Business Address: 

City - Town : 

State : ME  Zip Code: 

Daytime Phone Number: 

Nighttime Phone Number: 

Toll Free Number: 

Fax Phone Number: 

E-Mail Address: 

Wire Service affiliations:

Type of Business: (Please check all that apply)
Retail Florist  Retail Greenhouse/Garden Center
Wholesale Florist/Supplier  Wholesale Greenhouse  Student
Individual  Wire Service  Other

Years in Business :      Years under current owner : 

How did you hear about MSFGA:

What programs would you like to see MSFGA offer to its members:

Would you be interested in becoming involved with
MSFGA's committees, shows, fairs, etc. ?