2005 Sask. Herb and
Spice Association Membership Form
Please print out this form and fax or mail it in
Please print
Name
____________________________________________________________________________________
Address
__________________________________________________________________________________
City______________________________________________________________________________________
Postal
Code
_______________________________________________________________________________
Phone
____________________________________________________________________________________
Fax
_______________________________________________________________________________________
*Email ___________________________________________________________________________________
We
also accept Mastercard or Visa __
Mastercard __ Visa
#
________________________________________________________________________________________
Name
as written on Card
_____________________________________________________________________
Expiry
date_________________________________________________________________________________
Bank______________________________________________________________________________________
Your email address
will be included in our database where we send you up to the minute information pertaining to this industry.
Please indicate if you do not wish this service.
____ Please contact us if you need a receipt
GST included
_____
regular membership of $65.00
_____
corporate membership of $220.00
_____
corporate sponsorship of $540.00
Add
$15.00 for Canada post delivery
MEMBERSHIP DIRECTORY - fill out the below to be included
_____ I do not wish to be included in the membership directory (also
will be available on web)
I am involved in the herb and spice industry in the
following way:
As a
producer in the following fields and options within the last five years:
_____ herbs _____ spices _____ both
_____ organic _____ certified organic
_____ wildcrafting _____ other
__________________________________
In
the marketing / value added field as a:
_____ supplier _____ processor _____ marketer _____
retail _____ other ___________________
In
education and research:
_____ federal gov’t _____ prov gov’t _____ university
_____ research institute_____ other _____________________________________
_____ In a related
association or other field
_____ I am just starting in the industry and do not
fit any of the areas yet.
IMPORTANT!
Please remember to include the Information you wish to have published about your
operation. Please keep to one paragraph – longer descriptions will be edited to
fit.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Saskatchewan Herb and
Spice Association
Building a viable herb, spice ,non timber and natural
health product industry to include value added production and processing
Box 18 Phippen, Sask. S0K 3E0
1-306-694-4622 fax 1-306-694-2182 shsa@imagewireless.ca
www.saskherbspice.org