APPLICATION FOR ACTIVE MEMBERSHIP
in the
AMERICAN SEED RESEARCH FOUNDATION, INC.
225 Reinekers Lane Suite 650
Alexandria, VA 22314
Phone:703-837-8140 / Fax: 703-837-9365
Date: ______________
Firm: ____________________________________________ Date Organized: ______________
Address: ________________________________________________________________________
City: ___________________________________ State: _______ Zip: __________- _______
Tel:____________________________________ Fax:____________________________________
Officers of the Firm:
                      
President:_______________________________________________________________________
                 
Vice-President:__________________________________________________________________
            
Secretary/Treasurer:_____________________________________________________________
The firm will be represented by:_________________________________________________
Application is hereby made for annual membership in the foundation.
Annual dues based upon annual gross sale of seed applicable thereto are:
Classification Annual Gross Sales of Seed Annual Dues
A      
B      
C      
D      
E      
F      
G      
H      
I      
J      
K      
L      
M      
N      
O      
P      
Q      
R      
S      
T      		 Over 500,000,000 
$400,000,001 to 500,000,000 
$300,000,001 to 400,000,000 
$200,000,001 to 300,000,000 
$150,000,001 to 200,000,000 
$100,000,001 to 150,000,000 
$50,000,001 to $100,000,000 
$30,000,001 to 50,000,000 
$25,000,001 to 30,000,000 
$20,000,001 to 25,000,000 
$16,000,001 to 20,000,000 
$12,000,001 to 16,000,000 
$8,000,001 to 12,000,000 
$4,000,001 to 8,000,000 
$2,000,001 to 4,000,000 
$1,000,001 to 2,000,000 
$500,00 to 1,000,000 
Less than $500,000 
Equipment Companies
State and Regional Seed Associations		 $8,500 
$7,500 
$6,500 
$5,500 
$4,500 
$4,000 
$3,400 
$2,700 
$2,300 
$2,100 
$1,900 
$1,600 
$1,200 
$1,000 
$750 
$500 
$300 
$200 
$500 
$300 

Name of Applicant (please print)_____________________________________________________

Signature_______________________________________________________________________