National Alliance of Independent Crop Consultants
is a professional society that represents the nation's crop production and research consultants.
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2010 Membership Dues Renewal

  1. Type in your name and email at the top of the form (mandatory)
  2. Review your listing (found in the 2009 membership or on the form you received via mail) and make any changes on the electronic form below.
  3. Voting, Provisional and Associate members MUST answer questions listed below the category options
  4. Check the appropriate box to verify your answers. By checking this box you are indicating your acknowledgement of the terms of membership. This action is equivalent to your signature.
  5. Enter credit card information with expiration date and credit card mailing address.
  6. Submit form by clicking on the button at the bottom of the page.

Deadline: October 31, 2009. Dues must be received by October 31, 2009 in order to be included in the 2010 membership .

NAME: EMAIL:
PLEASE CHECK ONE: Crop Consultant Research Consultant Quality Assurance Other
 Information

Check you listing here in the 2009 membership directory

O.K. as is
O.K. with changes


EPA Region for GLP Studies:

Yes, I want my listing available to the public on the NAICC website
No, do not make my listing available to the public on the NAICC website

Please indicate areas of interest:
Annual Meeting Coordination
Certification
Consultant Education
Ethics & Grievances
Membership Recruitment Retention & Rules
Membership Services
Government Affairs
Newsletter Articles
Research Education
Other
MEMBERSHIP RENEWAL & FEAE CONTRIBUTION
CATEGORY
Voting $225
Provisional $225
Associate $225
Additional Provisional*/Voting*/Associate $175
Additional Sustaining $200
Student $10 Retired Status $65
* Voting and Provisional members MUST answer the following questions:

The Membership Recruitment, Retention & Rules Committee has been directed to review periodically the status of voting and provisional members to see if there have been changes in a member’s status. Please respond to the following questions as they now appear on the membership application.
1. Do you provide recommendations and/or technical data to clients on a fee basis?
Yes No
2. Are your fees itemized and billed to the client?
Yes No
3. Do you currently receive any compensation from a client’s purchase of products* based on your recommendation and/or data?
Yes No
* Definition of products:
Inorganic or organic fertilizers, soil amendments; seed or plant materials; commercially available equipment, machinery, or implements; chemical or biological pest-control inputs; animal feed or medicinal products.

4a. Are you employed by a company that manufacturers, sells or markets ag products as defined above to the client you serve?
Yes No
4b. Is any part of your income dependent upon the sale of the products you recommend to your clients? Yes No
5. A secondary review mechanism is available to be utilized in cases in which either the applicant or the membership committee is uncertain whether the applicant meets the criteria described. If you are uncertain of your eligibility and request more detailed information please indicate.
Yes, I am uncertain of my eligibility.

Foundation for Environmental Agriculture Education (FEAE)**.
General Fund Contribution Richard L. Jensen Scholarship Fund:
$
or
Richard L. Jensen Scholarship Fund:
$

** The FEAE is an educational organization exempt from taxation under the 501(c)(3) code of the Internal Revenue Service. Contributions to the FEAE are deductible as charitable contributions for federal income tax purposes to the extent provided by law.