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* Title:
* First Name:
* Last Name:
Job Title:
Company Address
Company Name:
Address 1:
Address 2:
Province:
City:
Postal Code:
Permanant Address
* Address 1:
Address 2:
* Province:
* City:
* Postal Code:

* Phone:
Phone Extension:
Alternate Phone:
Alternate Phone Extension:
Fax:
* Email:
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* Sector of Pork Industry:
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Membership Description Cost
Full Membership – Individual
($267.50 includes GST - Link on website and E-news, newsletter)
267.50
Corporate Membership –Unlimited Subscription Members & 5 voting members
(1000.00 includes GST) Link on website and E-news, newsletter
** Please fill out the contact information on back of form to identify the people you would like to be your voting members and all subscription members. Please put the designated/primary contact person on the top of this page)
1000.00
Subscription Membership
(100.00 includes GST) – E-news & newsletter
100.00
Producer Membership
($ 50.00 includes GST) E -news and OPIC electronic newsletters, opportunity to participate on an OPIC committee in an area of their specific interest or concern
50.00
 
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Developed by: Farms.com Professional Services