MEMBERSHIP APPLICATION FORM
I / We hereby apply for membership of the Tanzania Horticultural Association
Organization/Individual/Association:………………………………………………………………………………………………….
Physical Address:………………………………………………………………………………………………………………........
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Telephone:………………………………………………………………………Email:……………………………………………..
Please provide a brief description of your company, its size and its activities.
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Contact Person:
Mr/Mrs/Ms (Surname): ………………………………Other Name/s……………………………………………………………......
Position:………………………………………………………………………………………………………………………….......
Mobile phone:…………………………………………………………………Email:…………………………………………….....

I hereby certify that the above information is correct and that the company undertakes to abide by the rules /regulations / procedures as

enshrined in the TAHA’s Memorandum and Articles of Association.
Signature ………………………………………………………
Date: …………………………………………………………..
MEMBERSHIP CLASSIFICATION
The Scale of Annual Membership Subscription fees is as set out below:

ACCOUNT: Tanzania Horticultural Association, Barclays Bank, Arusha Branch

A/C No. 0004-0014-90