Texas Corn Producers Board

		Wednesday, September 8, 2010

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	Membership Application/Renewal

Corn Producers Association of Texas (CPAT) is building a strong organizational support system for the corn industry representing the interests and concerns of ALL Texas corn producers.

Please fill this form out, print two copies (one for your records) and one to mail with your check to:
CPAT 4205 N. I-27 Lubbock, TX 79403

Name

Spouse's Name

Farm/Company Name

Address

City, State Zip

County

Home Phone

Office Phone

Mobile Phone

Fax Number

Email Address

Recruiter Name

Member Type		Grower Member Associate Member

New or Renewal		New Membership Renewal Membership

Membership Dues		1 year youth membership - $20 1 year membership- $60.00 3 year membership - $150.00 Pioneer Hi-Bred: 1 year membership-$60-Receive1 bag of producer's choice of seed Pioneer Hi-Bred: 3 year membership-$150-Receive 2 bags of producer's choice of seed B-H Genetics: 1 year membership-$60- Receive 1 bag of conventional or Roundup Ready seed B-H Genetics: 3 year membership-$150-Receive 2 bags of conventional or Roundup Ready seed Triumph: 1 year membership-$60-Recieve 1 bag of producer's choice of seed Triumph: 3 year membership-$150-Receive 2 bags of producer's choice of seed Mycogen Seeds: 1 year membership-$60-Recieve 1 bag of producer's choice of seed Mycogen Seeds: 3 year membership-$150-Receive 2 bags of producer's choice of seed Dekalb: 1 year membership-$60-Recieve 1 bag of producer's choice of seed Dekalb: 3 year membership-$150-Receive 2 bags of producer's choice of seed NK, Garst, or Golden Harvest: 1 year membership-$60-Recieve 1 bag of producer's choice of seed NK, Garst, or Golden Harvest: 3 year membership-$150-Receive 2 bags of producer's choice of seed

Please list any issues you would like to see CPAT address:

Thank you for joining, your support is appreciated!