Dear Members:

Greetings from the Alabama Seed Association! We hope this letter finds you and your family well. We remain committed to helping our industry grow and thrive and appreciate your continued support to allow us to do so. With that, our annual membership dues are payable again. Please complete this form with option to pay online or send dues.

Company Name *

Company Representative(s)

Commerce Representative(s) Total

Mailing Address *

City, State, and Zip *

Phone *

Email *

Membership Dues

If Total is ‘0’, select the dropdown and click on the Membership Dues. FYI, we do add card processing fees of $1.80 to the total.

Registration TypeMembership Dues – $50.00

Total

Payment Method *— Select Choice —OnlineMail In Payment

PayPal Commerce *

PayPal CheckoutCredit Card

Card Number

Expiration Date

Security Code

Card Holder Name

Mail In Payment Instructions

Visual Code

Make checks payable to the Alabama Seed Association. Return payment and registration information to the address below:

Alabama Seed Association
c/o Brandon Dillard
P.O. Box 357
Headland, AL 36345

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