Application If you have any questions or issues with the form, contact David at firstname.lastname@example.org. Step 1 of 6 - Section 1 16% Name* First Last Company*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email* Cell Phone:Website* Are you currently a Total Landscape Care Daily Email Newsletter subscriber?YesNoWould you like to subscribe to Total Landscape Care? Yes, I would like to subscribe to Total Landscape Care Do you have any additional business owners?YesNoName of Additional Business Owner 1 First Last Name of Additional Business Owner 2 First Last Name of Additional Business Owner 3 First Last Now, a little bit about your companyYear you started your companyYears you have been landscapingCompare your company today with where you stood after your first year in business in terms of:Annual volume (After first year)Annual volume (Today)Equipment fleet size (Today)Number of employees (After first year)Number of employees (Today)Types of clientsTypes of services provided (maintenance, design/build, chemicals, irrigation, etc.) Client References*Please list three client references and their contact information. Note: Please make sure all your references know you and your work well. Please inform your references that you have listed them as a reference.Client Name*Contact Name* First Last City*Email Daytime Phone*Client Name*Contact Name* First Last City*Email Daytime Phone*Contact Name* First Last City*Email Daytime Phone* Industry References*Please list three industry references – dealers, rental centers, other landscapers, associations, vendors, ect. – and their contact information. Note: please make sure all your references know you and your work well. Please inform your references that you have listed them as a reference. Contact Name* First Last City*Email Daytime Phone*Contact Name* First Last City*Email Daytime Phone*Contact Name* First Last City*Email Daytime Phone* All About You...What challenges have you faced over the years and how did you overcome them?What makes you a successful landscaper?What professional certifications or association memberships do you and your staff hold?How do you contribute to your local community?Why should you be Landscaper of the Year? Please feel free to submit other information like photos of your work, facilities and employees, copies of company literature, training manuals or promotional campaigns below:(30 files maximum - JPGs, PDFs or DOCs)File Upload Drop files here or Accepted file types: jpg, pdf, doc. Verification* Check here to verify that all the statements made on this application are true to the best of your knowledge.