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Membership Application

I. General Information

Company Name:
Mailing Address:
City:
State: Zip/Postal Code:
Telephone:
Mobile:
Fax:
Email Address:
Submitted By:
(Name of Person)
Title:
Date:

II. Membership Classification
Please choose only one.

Shipper/Importer Member
 
Dues
$0.065 per 1,000
pounds of fruits and vegetables shipped in the past year.

This category includes members who ship fruits and vegetables that are either DOMESTIC or IMPORTED.  Dues are computed at the rate of $0.065 per 1,000 pounds of fruits and vegetables shipped in the past year.  (Dues shall not be less than $675 nor more than $4,200 per year.)  If a member is both a shipper and a grower, he shall join as a shipper member and simply list crops grown in the profile section.

Please check all that apply to you as a Shipper/Importer Member:

Domestic
Import
Grower/Shipper
Grower Member
 
Dues
($0.50) per acre of production

This classification includes members who are strictly growers of fruits and/or vegetables.  Grower members shall pay fifty cents ($0.50) per acre of production.  Dues shall be no less than $50 and no greater than $1,000.

Specialty Shipper Member
 
Dues
$300 annually

This classification includes shippers who have less than $600,000 in gross annual sales (i.e. gift fruit shipper, fund raiser, etc.).

Allied Industry Member
 
Dues
$500 annually

Please check the one that applies to you as an Allied Industry Member.

Distributor
  Includes retailers, wholesalers, domestic produce brokers, import brokers, processors, and re-packers.
Materials/Service Provider
  Includes members who provide products and/or services to any classification of TPA membership.
Transportation Provider
  Includes members who provide trucking and related services to any classification of TPA membership.

Please list your type of business:

Government/Educational Member
 
Dues
$100 annually

This classification includes any individual employee of a government agency, the Extension Service, a college, a university, a trade school, or other organization involved in education.

Please specify your type of affiliation:

III. Payment Options

Full Amount
$
Due 08/31
Installments
  1st Payment
$
Due 09/15
  2nd Payment
$
Due 11/15
  3rd Payment
$
Due 01/15
  4th Payment
$
Due 03/15

Shippers who are also growers shall not pay Grower Member dues in addition to Shipper Member dues.

IV. Authorized Representative
Article III of the By-laws provides that each member shall appoint an Authorized Representative to represent it in all matters pertaining to the Association.  Such Authorized Representative shall have one vote on all matters requiring balloting by members of the Association at general and special meetings of the membership.  The Authorized Representative shall be eligible to serve on the Board of Directors or to serve as a Division Chairperson.

Authorized Representative:

V. Divisions
Members of any classification can choose to be a part of the Shipper, Transportation and/or International Trade Divisions.  List an organization representative for each chosen Division.  Your organization's representative may be the same person for each chosen Division or may be a different person.  Your chosen representative is eligible to serve on the Division Council. Each Division will elect a representative Council as defined by the Policy & Procedure Manual.

Shipper/Importer Division
 

The Shipper/Importer Division will generally address matters concerning harvesting, transportation, packing, marketing, post-harvest handling and diseases, environmental concerns, grade and quality standards, insurance, taxes, finance, labor, applicable laws and regulations, packaging and unitization/palletization, as examples.

Division Representative:

International Trade Division
 

The International Trade Division will primarily focus upon matters relating to importing and exporting fruits and vegetables.  Examples of topics that may be addressed by this Division include tariffs and duties, border crossing fees and related costs, sanitary and phytosanitary concerns, insurance, foreign country restrictions limiting exports, applicable laws and regulations, transportation, packaging, marketing, NAFTA and WTO.

Division Representative:

Transportation Division
 

The Transportation Division will address matters concerning the transportation sector, including hours of service regulations, palletization, and any other issues that arise.  The Association will bridge issues between transportation companies and shippers.  It will represent the transportation industry in state and federal matters with DPS, DOT and other regulating agencies.

Division Representative:

VI. Profile Information For Membership Directory

Branches/Seasonal Offices:
Brands (Produce Labels):
Officials:
President:
Vice President:
Others (list names and titles):
Personnel:
General Manager:
Office Manager:
Sales Manager:
 
Sales:

If you are a shipper or grower member,
have you been third-party certified?

VII. Business Type
(Please check all the apply to your organization.)

Applicator
Irrigation Equipment
Broker-Customs
Labeling Equipment/Labels
Broker-Produce
Labor Contractor
Broker-Truck
Legal Services
Chemicals-Mfg /Supplier
Media
Citrus Gift Package Shipper
Nursery
Citrus Fund Raiser Shipper
Office Supply Company
Computer
Printing Company
Communications
Produce Importer/Shipper
Consultant
Promotion/Advertising
Fertilizer/Mfg./Supplier
Receiver (wholesale/retail)
Financial Services
Repacker at Receiving Point
Food Service Distributor
Seed Company
Food Processor
Shipper-Domestic Fruit/Veg.
Freight Forwarding
Shipping Container/Bag Mfg.
Grove Care Operator
Shipping Supply Company
Grower-Domestic Fruit/Veg.
Stevedoring Company
Ice & Refrigeration
Temperature Monitors
Implement/Lift Truck Dealer
Transportation (air, water, land)
Insurance Agent/Company
Utility
Other
Other

VIII. Produce Handled and/or Shipped
(Please check all fruits and vegetables that you handle.)

Fruits
Avocados (Hass and others)
Mangos
Cantaloupe
Oranges
Coconuts
Papayas
Grapefruit
Pineapple
Honeydew
Strawberries
Lemons
Tangerines
Limes
Watermelons
Other
Other
       
Vegetables
Asparagus
Leeks
Beets
Napa
Bok Choy
Okra
Broccoli
Onions, Dry
Cabbage
Onions, Green
Carrots
Parsnips
Cauliflower
Peppers, Bell
Celery
Peppers, Chile
Cucumbers
Potatoes
Daikon
Pumpkins
Eggplant
Radishes
Garlic
Spinach
Greens
Squash
Lettuces (including specialty)
Tomatillo
Herbs
Tomatoes
Jicama
Turnips
Kohlrabi
 
Other
Other
       
Other
Aloe Vera
Onion Plants
Black-eyed Peas
Pinto Beans
Corn Husks
 
Other
Other

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