PRINT AND MAIL APPLICATION
WITH CHECK OR MONEY ORDER MADE PAYABLE TO ETGRA. THANKS.
ETGRA DATE
_________________________
Lufkin, Texas 75915
FARM NAME
______________________________
ADDRESS
_______________________________
CITY AND STATE
_________________________
ZIP ___________COUNTY OR PARISH ___________________
TELEPHONE NO.
_________________________
EMAIL ADDRESS
______________________________
PLEASE CHECK THE APPROPRIATE
ANSWERS BELOW:
MEMBERSHIP TYPE ____JUNIOR ____INDIVIDUAL _____FARM
Do you wish to be listed on
the membership list on the website? ___Yes
___No
With your telephone
number ___Yes ___No
With your email address ___Yes
___No
Website address to link to
etgra website www._________________________
********************************************************
Individual membership -
$25.00
Farm membership - $40.00
Junior membership - $10.00 (up to age 19)