AMERICAN GRASSFED ASSOCIATION PO Box 461090Denver, CO 80246Phone/Fax: 877-77GRASSEmail: aga@americangrassfed.orgWeb: www.americangrassfed.org CERTIFICATION RENEWAL 2022 Please complete the information in the section regarding number of animals harvested or milked. You will be able to pay with your credit card immediately after submitting this form. Brands and Corporate companies paying yearly dues need to contact Carrie Balkcom - aga@americangrassfed.orgMember Number* Member number can be found on your certificatePay by* Credit Card Check By Mail Zelle If you use a credit card, there is a processing fee of 2.9% + $ 0.30 If you would like to pay via Zelle, please send your payment to aga@americangrassfed.org. Please select your appropriate payment method. Please make sure you are sending your payment to aga@americangrassfed.org to avoid issues processing your payment. Please watch the video below for further information on paying with Zelle:Producer Company Name* Producer Name* Phone Number* Email* Address City State Zip If you do not show any animals harvested or milked, please send a signed letter with the explanation. You must keep all fees current. Thank you - American Grassfed StaffNumber of Animals Harvested or Milked# of Beef Harvested @ $1.00Beef Total# of Bison Harvested @ $1.00Bison Total# of Dairy Milked @ $1.00Milked Total# of Sheep Harvested @ $0.25Sheep Total# of Goat Harvested @ $0.25Goat Total# of Dairy Harvested @ $1.00Dairy Total# of Pork Harvested @ $0.50Pork TotalTOTALSUBTOTAL Description Amount Total Certified Producer Membership $100.00 $100.00 Licensing for 2022 $100.00 $100.00 SUBTOTAL $200.00 PLEASE REMIT BY 1/15/2021 HiddenProcessing Fee*processing fee of 2.9% + $ 0.30 Certified Producer Membership Price: $100.00 Licensing for 2021 Price: $100.00 Harvest/Milk Fees Price: $0.00 Credit Card Processing Fees Price: $0.00 PAYMENT BY CHECK TOTAL:PAYMENT BY ZELLE TOTAL:PAYMENT BY CREDIT CARD TOTAL:(Includes credit card processing fee of 2.9% + $ 0.30 )American Grassfed Association is a 501.c.6 trade organization Total $0.00 PAYMENTPlease enter last 4 Digit of Credit Card Number* Credit Card Information Add new card Δ
