10 Membership at the grass roots begins with you! Primary Contact: ______________________________ Business Name: ______________________________ Address: ______________________________ City: ______________________________ State: _________ Zip:_____________ Phone: _________________________ E-Mail: ______________________________ Local Affiliate: ______________________________ Recruiter: ______________________________ Contact Information COUNCIL MEMBERSHIP– Voting Cow/Calf Farmer/Stockman Seedstock Check one option for the above Councils: # of Option I: Option II: Head: NC/NCBA/Local NC/Local 0-100 $275.00 $115.00 101-250 $472.50 $152.50 251-500 $692.50 $212.50 501-750 $980.50 $287.50 751-1,000 $1,322.50 $362.50 1,001-1,250 $1,664.50 $437.50 1,251-1,500 $2,005.50 $512.50 1,501-1,750 $2,347.50 $587.50 1,751-2,000 $2,689.50 $662.50 2,001 & up $2,727.00 $700.00 +$.70/addt'l hd +$0.30/addt'l hd FEEDLOT COUNCIL–Voting NC/NCBA dues are unified Bill monthly Bill quarterly Bill semi-annually Bill annually Capacity Dues Placement Billing # of head X $1.15 # of head X $0.58 Total: $_________________ Total: $_________________ Student Membership– Voting Under 24 years of age. Birthdate: _______________________________ Option I: NCBA – $53 Annually Option II: NC – $25 one-time fee Supporting Membership– Non-voting, non-owners of livestock and local business Option I: NC/NCBA/Local – $260 Option II: NC/Local – $150 Associate Membership– Unified vote on Allied Industries Council Option I: NC/NCBA/Local – $560 Option II: NC/Local – $400 Membership Classifications Total dues investment: $ __________________________________________________ Add Donation to NC Political Action Committee: $ ____________________________ The investment in Nebraska Cattlemen is based on fair share dues. Fair share dues allow for all sizes of businesses to participate. Payments of NC/NCBA dues are tax deductible for most active members as a business expense. NC estimates 15% of the dues payment is not deductible as a business expense due to our direct lobbying activities on behalf of members – please check with your tax professional. Card Type: ____________________ Name on Card: _____________________________ Address: _____________________________ City: ________________________ State: __________ Zip: _________ Card Number: _____________________________ Expiration: ____________________ Security Code: _________________ Credit Card Info Add Nebraska Cattlewomen membership (no charge) OPT-OUT of Seedstock, Feedlot and Associate Directories Remit to: Nebraska Cattlemen 4611 Cattle Drive, Lincoln, NE 68521 (402) 475-2333 | www.nebraskacattlemen.org *Payment required for all memberships except Feedlot Council. Join Nebraska Cattlemen Today! Working for Nebraska Beef Producers PASTURE TO PLATE TO PLATE
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