Connecticut Herb Association Membership Form

Become a member today...In 2 easy Steps

Step 1: Complete CHA Membership Form

Your Name
Business Name
Address
City, State, Zip
Phone
E-Mail
Website
Description for directory
Include me in the members only on-line directory	with contact info without contact info
I am a Vendor offering a Member-to-Member (M2M) Discount	Yes
Include my website in the “Member’s Websites” link	Yes
Membership	Full member-$25 Student member-$15
I am including a donation to the CHA Scholarship Fund	Yes
I will pay	On-Line By Check/Money Order
Current Member	Update info only
	Please mail materials to me
Image Verification Please enter the text from the image: [ Refresh Image ] [ What's This? ]

Step 2: Pay Your Dues

Pay on line:

Annual Membership Full

Annual Membership Student

Donate to Scholarship Fund

Send a check:

Connecticut Herb Association, P O Box 310491, Newington, CT 06131

Thank you for becoming a CHA member!