BLSA 26-27 Membership Form

Category - Please Indicate*

If you selected 'other associate' please confirm the type of business
Membership Subscription

Grower membership is based on your business turnover. Please select the turnover bracket that best reflects your business. If your business involves growing (even if you also propagate or process and/or pack), your membership will be classed as a Grower, and you must select a turnover bracket. If your business is only propagation, processing and/or packing (and not growing), please select the Propagator or Processor/Packer option instead.

Band ABand BBand CBand DBand EBand FBand GBand HBand IAssociatePropagatorProcessor/PackerAdvisor
Primary Contact
Primary Contact Name*
Address*

Street Address

Street Address Line 2

CityCounty

Postal CodeCountry
Primary Contact Email*
example@example.com
Primary Contact Telephone Number

Country CodeArea CodePhone Number
Primary Contact Mobile *

Country CodeArea CodePhone Number
Accounts
Account Contact*
Account Email*
example@example.com
YesNo

R&D Subgroups - Please indicate if you would like to be involved in any of the subgroups. (Please provide relevant contacts email address):

Social Media
Company LinkedIn
Company Twitter
Company Website
BLSA Website
YesNo
If you answered ‘yes’ to the question above, we will use the company bio and logo you provided in the application form. If you’d like to include a contact number and email address alongside your bio, please add them below
Email address
example@example.com
Contact number

Area CodePhone Number
British Leafy Salads Association Ltd, Registered Office: BGA House, Nottingham Road, Louth, Lincs, LN11 0WB
Tel: 01507 353792 Email: holly.jones@britishgrowers.org
Website: www.britishleafysalads.co.uk
VAT Registration No. 363 0101 07 Registered in UK No. 26250R
Should be Empty:

Membership Application Form