About the HIA > Donate/Join > Full Membership Application
Full Membership Application
Company:
First Name:
Last Name:
Address:
City:
State:
(for United States and Canada only)
Zip:
Country:
Phone:
Fax:
Toll Free:
E-mail:
Website:
Referred by:
Year of first
hemp sale:
   
Description of business
(a 20-word statement that is printed in the HIA Directory and on the HIA Web site)
Chapter Affiation
If you are joining an HIA Chapter, please select the Chapter below.
Type of Business (select all that apply)
Product Categories (select all that apply)
Annual Dues: (based on previous year's gross revenues)
$125 (Gross revenues up to $50,000)
$225 (Gross revenues from $50,001 - $100,000)
$350 (Gross revenues from $100,001 - $500,000)
$500 (Gross revenues from $500,001 - $1,000,000)
$1,000 (Gross revenues from $1,000,001 - $5,000,000)
$2,000 (Gross revenues from $5,000,001 - $15,000,000)
$4,000 (Gross revenues from $15,000,001 - $25,000,000)
$6,000 (Gross revenues more than $25,000,000)
We pledge to conduct our business in the hemp industry within the HIA guidelines for ethical business practices, including accurate labeling, use of environmentally-friendly practices, quality products and concern for human rights.
Check here if you prefer to send a check

The HIA is a 501(c)(6) non-profit trade group, and donations are not tax-deductible.