Member Application

Membership runs from January 1 – December 31.

FIRST TIME MEMBERS are eligible for a pro-rated dues amount based on the month they sign up. The adjusted amount will calculate automatically by the system when you submit your new member application. Membership is approved/confirmed upon receipt of the completed application and payment in full.

Pro-rated dues are not available to lapsed / renewing MLP members. If you are a lapsed member, please do not submit a member application. Please contact the MLP office to reinstate your membership at (508) 653-3373 during normal business hours.

* First Name of Applicant

* Last Name of Applicant

* Company Name

* Business Address Please enter your business address here. This information is public.

* City

* State ABAKALARASAZBCCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMBMDMEMHMIMNMOMPMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRPWQCRISCSDSKTNTXUTVAVIVTWAWIWVWYYK

* Zip

* Business Phone

Cell Phone

* Preferred Mailing Address Enter the address where you wish to receive correspondence from MLP. This information is private.

* Preferred Mailing Address - City

* Preferred Mailing Address - State ABAKALARASAZBCCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMBMDMEMHMIMNMOMPMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRPWQCRISCSDSKTNTXUTVAVIVTWAWIWVWYYK

* Preferred Mailing Address - Zip

* Email

Web Site

Date Firm Started

* Please Add All Services You Provide This is used to help direct consumers to your business.

 Commercial
 Design
 Excavating
 Garden Installation / Maintenance
 Grading & Drainage
 Insect & Disease Management
 Installation
 Irrigation
 Landscape Construction
 Maintenance
 Organic Solutions
 Other
 Outdoor Lighting
 Residential
 Snow & Ice Management
 Stonework / Masonry
 Water Features

* Please Add All Service Areas This is used to help direct members & consumers to your organization.

 Cape & Islands
 Central MA
 Eastern CT
 Greater Boston
 Metro West
 North Shore
 Northern CT
 Other
 Rhode Island
 South Shore
 Southern NH & ME
 Western MA & Berkshires

Insurance Carrier

Workers Comp Policy #

General Liability Policy #

* Are you an MCLP? --Please select-- Yes No

MCLP #:

Do you have any other professional credentials or designations?

How did you learn about MLP?

* I hereby pledge that the above information is accurate and my company maintains proper insurance, as required by law. I desire membership in and agree to assume the obligations & responsibilities of such membership as set forth in the MLP Code of Ethics.

  I agree

*Please enter the text in the security image: