Membership Registration Membership Registration Step 1 of 3 33% CompanyName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Website Membership Type*Select Membership TypeAffiliateEmeritusStudentRetailWholesaleInitial Affiliate Membership Price: $750.00 Additional Affiliate Memberships Price: $100.00 Quantity: Single Emeritus Membership Price: $100.00 Single Student Membership Price: $25.00 Retail Membership WorksheetRetail Centers are defined as: Iowa Retail Centers of Feed, Fertilizer, Seed, Crop Protection Chemicals, Custom Application, Consulting, Grain Throughput, Merchandise/Equipment Sales direct ot Producers.AIOWA Gross Retail Sales of feed, fertilizer, seed, crop protection chemicals, consulting, custom application and merchandise/equipment.BGrain Sales (incl ALL Branches)CA + (B x 65%) = Total IOWA adjusted salesRetail Membership DuesSelect dues based on adjusted sales (C)Up to $5M - Dues $850$5M - $15M - Dues $1,050$15M - $30M - Dues $1,850$30M - $50M - Dues $3,000$50M - $100M - Dues $4,200$100M - $250M - Dues $7,000$250M - $500M - Dues $11,500$500M - $750M - Dues $13,000$750M - $1B - Dues $16,000$1B - $1.25B - Dues $20,000Greater than $1.25B - Dues $30,000Wholesale MembershipWholesale Members are defined as: Distribution, Formulation, Grain Marketing/Processing, Manufacturing, and Wholesalers who sell to Ag Retail Centers. Wholesale Membership DuesSelect dues based on IOWA Total Gross SalesUp to $5M - Dues $875$5M - $15M - Dues $1,095$15M - $30M - Dues $1,950$30M - $50M - Dues $3,250$50M - $100M - Dues $4,500$100M - $250M - Dues $7,500$250M - $500M - Dues $11,500$500M - $1B - Dues $12,500Greater than $1B - Dues $15,000Additional Wholesale MembershipsAdditional branches, sales reps and employees may join for $100 each ONLY if the parent company has paid dues for the year. Price: $100.00 Quantity: Committee Sign-UpI would like to serve on the following committees Agronomy Environment Feed & Livestock Grain Legislative Recreation Showcase Transportation Note About Your Membership ApplicationMembership in the Agribusiness Association of Iowa is contingent upon multiple factors which will be reviewed once your membership application is received. We will contact you in a day or so to inform you of the status of your application. Membership investments paid to the Agribusiness Association of Iowa are not deductible as charitable contributions for federal income tax purposes. However, membership investments paid to the Agribusiness Association of Iowa are deductible as business expenses at a rate of 82% of the total membership investment.Billing*Credit CardInvoiceTotal $0.00 Credit Card Payment DetailsCredit Card Processing Fee Price: $0.00 Please Note: All credit card transactions for Membership Dues will incur a processing fee to offset the costs of processing the transaction.Credit Card Processing Fee Price: $0.00 Please Note: All credit card transactions for Membership Dues will incur a processing fee to offset the costs of processing the transaction.Credit Card Processing Fee Price: $0.00 Please Note: All credit card transactions for Membership Dues will incur a processing fee to offset the costs of processing the transaction.Secure Credit Card Card Holder* Card Number* Card Expiration* Card CVV* Captcha This iframe contains the logic required to handle Ajax powered Gravity Forms.