Key Contact (first and last name)

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Company/Organization

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Mailing Address

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City

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State

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Zip Code

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Phone

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Fax

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Email

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Website

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What is your primary business?

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Primary Business if "Other"

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What are your primary crops, commodities or business lines?

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Approximate number of Year Round employees

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Approximate number of Seasonal Domestic employees

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Approximate number of Seasonal H2 Visa employees

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NCAE Member Sponsor

Did any specific organization encourage you to join?

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Discount Code

Only applicable in certain situations

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Member Category

If unsure, please refer to Membership Levels and Guidelines above

Leader $15,000
Patron $7,000
Benefactor $3,850
Supporter $1,825 (Introductory Level for H-2A Agents and Associations)
Subscriber $600 (Introductory Level for Small, Individual Growers)

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Additional Contribution

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You will receive an invoice within 48 hours so please check email!

Please confirm your email address. Once you receive an invoice through Quickbooks, you will have the option to pay right away by credit card or bank transfer. Your third option is to mail a check to NCAE.

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