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minnwheat
2023-11-17T15:21:18+00:00
MAWG Membership Form
Click here
to view and print the MAWG Membership Form PDF.
Step
1
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3
33%
Farm/Business Name
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Cell Phone
*
Email
*
Select A MAWG Membership Level That's Right For you!
Please select one of the following 2 membership types below.
Would you like to sign up for a one-year membership, or a yearly auto-renewal membership?
One-Year
Auto-Renew
With an auto-renew membership, you will save up to $15 on your yearly membership.
Recurring Payment Consent
*
I authorize Minnesota Association of Wheat Growers to charge my credit card annually for payment of my Minnesota Associate of Wheat Growers dues.
I understand this authorization will remain in effect until I cancel it in writing, and I agree to notify Minnesota Association of Wheat Growers in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I certify that I am an authorized user of the credit card account and will not dispute these scheduled transactions with my credit card company; so long as the transactions correspond to the terms indicated in this authorization form.
One-Year Membership
Individual
Multi-Farm
Auto-Renewal Membership
Individual
Multi-Farm
How many additional partners?
One
Two
Three
Four
How many additional partners?
One
Two
Three
Four
2nd Partner Name
First
Last
Address same as above
Address (2nd Partner)
Street Address
City
State / Province / Region
ZIP / Postal Code
Email (2nd Partner)
3rd Partner Name
First
Last
Address same as above
Address (3rd Partner)
Street Address
City
State / Province / Region
ZIP / Postal Code
Email (3rd Partner)
4th Partner Name
First
Last
Address same as above
Address (4th Partner)
Street Address
City
State / Province / Region
ZIP / Postal Code
Email (4th Partner)
5th Partner Name
First
Last
Address same as above
Address (5th Partner)
Street Address
City
State / Province / Region
ZIP / Postal Code
Email (5th Partner)
MAWG Apparel
Jackets & pullover are Royal or Navy Blue with the MAWG Logo embroidered on the front.
Qtr-Zip Pull Over in Royal Blue - Small
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - Medium
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - Large
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - XL
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - 2XL
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - 3XL
Quantity
Price:
$36.00
Quantity
Qtr-Zip Pull Over in Royal Blue - 4XL
Quantity
Price:
$36.00
Quantity
Tall Qtr-Zip Pull Over in Royal Blue - Large
Quantity
Price:
$40.00
Quantity
Tall Qtr-Zip Pull Over in Royal Blue - XL
Quantity
Price:
$40.00
Quantity
Tall Qtr-Zip Pull Over in Royal Blue - 2XL
Quantity
Price:
$40.00
Quantity
Tall Qtr-Zip Pull Over in Royal Blue - 3XL
Quantity
Price:
$40.00
Quantity
Tall Qtr-Zip Pull Over in Royal Blue - 4XL
Quantity
Price:
$40.00
Quantity
Fleece Lined Jacket in Navy Blue - Small
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - Medium
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - Large
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - XL
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - 2XL
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - 3XL
Quantity
Price:
$66.00
Quantity
Fleece Lined Jacket in Navy Blue - 4XL
Quantity
Price:
$66.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - Small
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - Medium
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - Large
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - XL
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - 2XL
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - 3XL
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Insulated Hooded Work Jacket in Navy Blue - 4XL
Quantity
Similar to Carhartt Jacket
Price:
$73.00
Quantity
Total
$0.00
Credit Card
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MAWG membership information will not be sold, traded or given away.
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