Membership Application Form (Draft)

"*" indicates required fields

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Company Name*

First Name*

Last Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Phone*

Membership Dues

Membership Dues*

Walnut Grower Member: Small (1-75 acres) $150

Walnut Grower Member: Large (76 acres or more) $2.00/acre ($3,000 max)

Handler Member: Small (10,000 tons or less) $1,000

Handler Member: Medium (10,001 to 25,000 tons) $2,500

Handler Member: Large (over 25,000 tons) $5,000

Huller Member: $1,000

Support Business (Non-Voting Members): $500

Acreage*

Please enter a number greater than or equal to 76.

Estimated Tonnage*

Subtotal

Pay via:*

Payable to:
Walnut Alliance of California
Mail to: Walnut Alliance of California
1521 I Street
Sacramento, CA. 95814

Credit Card

American Express

Discover

MasterCard

Visa

JCB

Maestro

Card Number

Expiration Date

Security Code Cardholder Name

CAPTCHA

TOTAL

The Walnut Alliance of California offers a small discount for members paying via check. If you wish to pay by check, please select Check in the above "Pay Via" field.