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Membership
Benefits
Membership
Application

Membership Application

Select a membership type:
  TYPE ANNUAL FEE DESCRIPTION
Retail (Full Service)
These are business with permanent facilities and staff capable of performing more than three of the following product related activities: buying, selling, receiving, storing, processing, delivering, applying physical product, and providing related technical services and information.
Class 1A $250 Retail - Main Plant
Class 1B $100 Retail - Satellite/Branch
Class 1C $ 50 Retail - Individual Member
Suppliers (Specialized)
This classification is for businesses that are more focused (limited) than Full Service Retailers in terms of products and services provided.
Class 2AA $250 Custom Applicator
Class 2CC $250 Crop Consultants
Class 2ED $500 Equipment Suppliers
Class 2EM $500 Original Equipment Manufacturer
Class 2F $500 Formulator (Non-Distributor)
Class 2SL $500 Soils Lab
Class 2EE $500 Environmental Consultant/Engineer
Class 2ML $500 Micronutrient Lime
Class 2SN $750 Seed - National
Class 2SR $500 Seed - Regional
Class 2T $500 Transporter
Class 2OS $400 Other Service Providers
Class 2C $ 50 Supplier - Individual Member
Basic Manufacturers, Distributors and Processors
Businesses whose major activity is manufacturing and/or distributing agricultural products.
Class 3P $2,500 Pesticide Manufacturer
Class 3F $2,000 Fertilizer Manufacturer
Class 3WD $750 Wholesaler/Distributor
Class 3FP $500 Food Processors
Class 3C $50 Manufacturer/Distributor - Individual
Educators and Government Employees
Class 5A $50 Educators
Class 5B $50 Government

Member Information:
* required field
First Name *
Last Name *
Company *
Mailing address *
Street address *
City *
State *
Zip *
Phone *
Fax
E-mail *
County (WI only)
Billing Information:
(if different from member information)
Same as member information
First Name *
Last Name *
Company *
Mailing address *
Street address *
City *
State *
Zip *
Phone *
Fax
E-mail *
County (WI only)
Payment Method:
Card Type VISA
MasterCard
American Express
Card # *
Expiration Date *
Credit Card Code: *
For your protection, the 3-digit CCV (Credit Card Verification) number on your credit card is required for processing. All credit card cards now being released have a three digit Credit Card Verification number issued on them.

The 3-digit CCV is usually printed on the signature panel on the back of the card immediately after the card number or partial card number. For simplicity, the CCV is always the last 3 digits shown on the signature panel.

First Name on card: *
Last Name on card: *