FTD America's Cup - Application

COMPETITOR CONTACT INFORMATION

FTD Member Number
Name
Title (i.e., Owner, Manager, etc.)
Shop Name
Address
City
State
ZIP Code
Shop Phone Number
Mobile Phone Number
Email Address

COMPETITOR PROFILE

I hold these professional designations:
AAF AIFD CFD PFCI Other:
Total number of full time years in the floral industry:
Place of employment and job title in the floral industry (excluding part time):
	From:	To:
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	From:	To:
	From:	To:
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Educational Background:
School Attended	From:	To:	Degrees/Certificates
	From:	To:
	From:	To:
	From:	To:
	From:	To:
List any other floral education or training that aided in your career (give details):

List any floral design competitions you have competed in during the last 5 years and indicate if you won or placed:

List any awards, honors or achievements received within the floral industry:
Organization	Award	Year




List any additional information that you would like to bring to FTD's attention:

A design portfolio is also required. See Design Portfolio for more information. A non-refundable application fee of $150 will be charged to the FTD Member Florist's account on the December 2021 FTD Clearinghouse Statement.
I certify that the information provided on this application is true and the floral designs in my portfolio are solely my own work. I have read and accept the Eligibility and Rules outlined for the FTD America's Cup.
Digital Signature (type your name):