If you are interested in becoming a member of the Utah Pork Producers Association, please print this Membership Application, complete this Application and mail it with your membership dues check to the address listed on this Application.

Utah Pork Producers Association Membership Application

NAME: _______________________________________

FARM NAME: ____________________________________

ADDRESS: ________________CITY ____________ ZIP ____

PHONE: _________________CELL __________FAX ______

E-MAIL: _______________________________________

Membership dues for 2011 in the amount of $15 per member are due NOW.

If you have further questions, please contact Dr. Haven Hendricks at 435 752-1208 or by e-mail: utahpork@pcu.net.

Mail a copy of this application and check payable to Utah Pork Producers to:

Utah Pork Producers Association, 55 East 200 North, Providence, UT 84332

Note: Membership dues in the Utah Pork Producers Association are not tax deductible as charitable contributions for federal income tax purposes; however, they may be tax deductible under other provisions of the Internal Revenue Code.