ARKANSAS PORK PRODUCERS ASSOCIATION
PRODUCER MEMBERSHIP FORM


FARM OR COMPANY NAME ______________________________________________________________


CONTACT PERSON ______________________________________________________________________


ADDRESS _______________________________________________________________________________


CITY ______________________________________ STATE _________________________ZIP___________


PHONE _________________________________________ FAX____________________________________


EMAIL ADDRESS _________________________________________________________________________



TYPE OF MEMBERSHIP ($25)

____________________ PRODUCER

____________________ NON-PRODUCER



MAIL TODAY TO:

ARKANSAS PORK PRODUCERS ASSOCATION
625 BUCK MOUNTAIN ROAD
DOVER, AR 72837
(479) 331-9708
(479) 331-9709 FAX
arkpork@yahoo.com EMAIL