National IHC Membership Form

MEMBERSHIP APPLICATION
Date

MonthDayYear
Date
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number:*
Please enter a valid phone number.
Email*
example@example.com
The Section above is the only required field. The Sections Below are Personal, Business and Farming Related. These Sections are Optional. You May Choose for the Information to Remain Private or be Published in the Cooperative Membership Directory.
Business

Organization:Title:
A Brief Company Description
Website:
https://mysite.com
Company or Personal Facebook Page Address:
https://www.facebook.com/MyBusinessPage
Twitter Handle:
@MyTwitterHandle
LinkedIn Page Address:
https://www.linkedin.com/MyAccountName
The National IHC is developing Chapters in all 50 States. We have an International Division as well. Please check the State Chapters you wish to join. If you are not in an existing developing State Chapter, please enter the States you wish to help establish.
Existing State Chapter/s I wish to Join:

AlabamaAlaskaCaliforniaColoradoConnecticutFloridaGeorgiaHawaiiKansasKentuckyLouisianaMaineMarylandMichiganMinnesotaMississippiMissouriNebraskaNevadaNew HampshireNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonSouth DakotaTennesseeTexasUtahVermontVirginiaWyoming
Texas Chapter Only: TexasIHC has 5 Regions. Which one do you Reside in?

NorthSouthEastWestCentral
New Developing State Chapter/s I wish to Join (List the State/s you wish to help establish)
Our InterNational Branch is the "InterNational Hemp and Cannabis Coalition".....We are still working on getting that Website and Membership form up. Until then, you may join the IHCC on this form as well. Please select the InterNational Chapter/s you wish to Join:

African NationsAustraliaCanadaCosta RicaHondurasIndiaMexicoNetherlandsPeruPuerto RicoSouth AfricaUKUkraine
Please Select all that Apply

Interested in membership onlyInterested in membership and developing my State ChapterInterested in Heading a State Chapter or Serving an Administrative Role in the Organization
Type of Business (Please Select all that Apply)

AssociationBusiness ServicesConsultingDistributorFarmingFinancingImport/ExportLegal ServicesLobbingManufacturingMarketingMedia/PublisherProcessorResearcher/AuthorRestaurantRetail: InternetRetail: Store FrontSales RepWholesale
Product Categories (Please Check all that Apply)

AccessoriesAnimal CareApparelBagsBody CareBooks/PeriodicalsBuilding MaterialsCBDCordage (twine/rope)Energy/Bio FuelFood ProductsHousewaresMachineryPaperPlasticsRaw Materials (fiber/hurd)Seed OilSeed/GrainSeed/PlantingShoesSports EquipmentTextiles (fabric/yarn)
Farming Section (Please Select all that Apply)

ResearchGrowerNurseryProcessorExtractorIrrigation-DripIrrigation-PivotIrrigation-FloodIrrigation-HandFuture Farmer
Size of Farm

1-20 Acres21-50 Acres51-100 Acres101-500 Acres501-1000 Acres1000 + AcresDreaming Still
What areas of the hemp Industry are you interested in??
What kind of Farm Equipment do you have?
If You Have a Cultivation Relationship with an Agricultural College or University, What is Their Name?
What Crops Have you grown in the Past 3 Years?
Sharing of your Information

Please keep my Info PrivateShare my Info with Members OnlyMy Info can be Published in the Open Source Membership Directory

My Products

General MembershipThe Annual "General Membership" dues Include the "Canna Journey" Member's Only Newsletter, a Welcome Pack Containing Decals and Brochures, the Hemper's Almanac Field Guide and a 20% discount off IHC Merchandise and Event Ticket Sales.

$25.00 for each year

Vendorship ProgramThe "Vendorship Program" Annual Subscription Includes all the General Membership Benefits Mentioned Above. In Addition, the Member may post their Product or Services on all 51 Social Media Pages. They are Given a Section on the Vendors page of the National IHC Website and Coverage in our Bi-Weekly National Newsletter.

$50.00 for each year

Core Team MembershipThe "Core Team" of the IHC are the Driving Force Behind the Cooperative. This is a Stewardship Program and Requires Involvement at an Inner Circle Level. Core Team Members receive all IHC merchandise at 30% over cost. Preapproval is Required. Please do not choose this option if you have not contacted us first.

$15.00 for each year

Scholarship Program The IHC also offers a "Scholarship Program". ALL Scholarships MUST be preapproved. Please do not choose this option if you have not contacted us first. IHCCoalition@gmail.com or at 806-782-7862

$ Free for each year

Credit or Debit Card Info

Should be Empty:

MEMBERSHIP APPLICATION

The Section above is the only required field. The Sections Below are Personal, Business and Farming Related. These Sections are Optional. You May Choose for the Information to Remain Private or be Published in the Cooperative Membership Directory.

The National IHC is developing Chapters in all 50 States. We have an International Division as well. Please check the State Chapters you wish to join. If you are not in an existing developing State Chapter, please enter the States you wish to help establish.

Credit or Debit Card Info