Independent Professional Seed Association

Renew Your Regular (Seed Co.) Membership Today!

May 1, 2010 - May 31, 2011

If you have been a Regular (Seed Co.) IPSA member within the last 2 years, please register your renewal by filling out the following form.

Register Online

Please complete the form below. After completion, you will have the option to pay with PayPal.

Company Name

Primary Contact

Address

City

State

Phone

Toll Free Number

Fax

Web Site

Email Addresses for Key Contacts

please list the email addresses for each key contact in your organization

Type of Operation

Units of Corn Sold

Units of Sorgum Sold

Units of Soybeans Sold

Units of Other Oil Seeds Sold

Units of Alfalfa/Forage Crops Sold

Units of Wheat/Small Grains Sold

Regular (Seed Co.) Dues Classification

Method of Payment

Pay online
Pay by check
Please send an invoice

please indicate your method of payment

use this form only if you have been a member of IPSA within the last 2 years

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IPSA offers three types of membership: regular, associate or affiliate membership. Determine the membership appropriate for you, print out the application form available online and apply today! For more information call us at 402/991-3550.