TEXAS AND SOUTHWESTERN CATTLE RAISERS ASSOCIATION 1301 W. Seventh St., Suite 201 • Fort Worth, Texas 76102-2665


800-242-7820 • Fax: 817-394-1864 • www.tscra.org APPLICATION FOR MEMBERSHIP


I hereby apply to become a member of this Association, and CERTIFY THAT I HAVE ACCURATELY AND CORRECTLY RENDERED THE CATTLE WHICH I OWN. In case of acceptance, I agree to conform to the by-laws governing the Association and to pay all costs of membership provided for by the Association at Fort Worth, Texas.


MEMBERSHIP SIGN LEASE


For the consideration set out below by the undersigned Lessee, the Texas and Southwestern Cattle Raisers Association does hereby lease and rent unto the said Lessee the number of membership signs set out below, for as long as the said Lessee shall remain a member of the Association in good standing. In the event said Lessee ceases to be a member of the Association in good standing, this lease shall terminate; and Lessee is obligated to return said signs, and if same are not returned, the agents or representatives of the Association are authorized to enter upon the premises of said Lessee and take possession of said signs.


PAC CONTRIBUTIONS


Texas and Southwestern Cattle Raisers Association PAC (TSCRA PAC), 1301 W. Seventh St., Suite 201, Fort Worth, Texas 76102, 800-242-7820. This communica- tion is not authorized by any candidate or candidate’s committee. Contributions to TSCRA PAC are subject to the prohibitions and limitations of the Federal Election Campaign Act and state election laws. Federal and state law requires us to use our best efforts to collect and report the full name and address, principal occupation or job title, and full name of employer of individual contributors.


MEMBERSHIP CHARGES


Please check (√) the appropriate box for cattle owned (rendered) and return this card with your remittance. Included in membership charges are your dues and assessments, your subscription to The Cattleman Magazine, Tablet and Phone Apps and an optional contribution to Texas and Southwestern Cattle Raisers Association PAC (5 cents per head is the suggested PAC contribution amount). Only the contribution to TSCRA PAC is optional, and only this PAC contri- bution may be deducted from the total if not desired. Payments of your dues and assessments to TSCRA and your magazine subscription may be tax-deductible as an ordinary and necessary expense of your business for federal income tax purposes; however, your dues and assessments and your magazine subscription are not tax-deductible as a charitable contribution. In addition, a portion of your dues and assessments is not deductible as an ordinary and necessary expense of your business to the extent that TSCRA engages in lobbying activities. The nondeductible portion of your dues and assessments is 5%. Furthermore, your optional contribution to TSCRA PAC is not deductible as either a charitable contribution or a business expense. As always, we suggest you consult your tax attorney or tax advisor for further details.


MEMBERSHIP INFORMATION


Please Print — *Required Fields Date: ____________________________ Ranch/Operation: _______________________________________________________________________ *Last Name: ____________________________ First Name: _____________________________ M.I.: ___ Employer1: ___________________________________________________________________________ Occupation1: _________________________________________________________________________ *Mailing Address: ______________________________________________________________________ *City: ____________________________________________________ *State:_____ *Zip: ____________ *Phone: __________ - __________ - __________ *Mobile Phone: __________ - _________ - __________ Email: _______________________________________________________________________________ County(ies) Ranch is located in: ____________________________________________________________ Recommended by: ______________________________________________________________________


Signature of Applicant or Lessee: ___________________________________________________________ 1For PAC purposes. By providing your email address, you give TSCRA permission to communicate with you by e-mail.


0-50 head ..............$ 100.00 51-75 head ..............$ 122.38 76-100 head ..............$ 145.75 101-125 head ..............$ 169.13 126-150 head ..............$ 192.50 151-175 head ..............$ 215.88 176-200 head ..............$ 239.25 201-225 head ..............$ 262.63 226-250 head ..............$ 286.00 251-300 head ..............$ 332.75 301-350 head ..............$ 379.50 351-400 head ..............$ 426.25 401-450 head ..............$ 473.00 451-500 head ..............$ 519.75


MEMBERSHIP DUES


501-600 head ..............$ 613.25 601-700 head ..............$ 706.75 701-800 head ..............$ 800.25 801-900 head ..............$ 893.75 901-1,000 head ..............$ 987.25 1,001-1,250 head ..............$ 1,221.00 1,251-1,500 head ..............$ 1,454.75 1,501-1,750 head ..............$ 1,688.50 1,751-2,000 head ..............$ 1,922.25 2,001-2,250 head ..............$ 2,156.00 2,251-2,500 head ..............$ 2,389.75 2,501-2,750 head ..............$ 2,623.50 2,751-3,000 head ..............$ 2,857.25


Plus $ .88/head in excess of 3,000 head


Mail to: TSCRA • 1301 W. Seventh St., Suite 201 • Fort Worth, Texas 76102-2665 Membership Charges:


Total Amount Enclosed: $ _________________ $ _________________ (Subscription to The Cattleman Magazine, Tablet and Phone Apps included in membership dues)


Total Association Gate Signs: $ _________________ 20” x 12” standard leased gate sign(s) $40.00 each. To order personalized or larger gate signs, please call 800-242-7820.


Prices effective January 1, 2013


PAYMENT:  Check (payable to TSCRA)  VISA  MasterCard  American Express  Discover Card No.: ____________________________________________________________ Expiration Date: _________ Security Code: _________


Name on Card: _____________________________________ Signature Required: ____________________________________________ To enroll in TSCRA Auto-Renewal and ensure convenient dues payment, please contact the Membership Department at 800-242-7820.


201303


Allied Industry Membership Dues: ............... $ 385.00


Landowner/Wildlife Operation Dues: ............... $ 100.00


Feedyard Membership Dues: 0-15,000 ............... $ 660.00


15,001-30,000 ............... $ 880.00 30,001+ ............... $ 1,100.00


Student Dues: ............... $ 25.00 Draw your brand below:


Mark all that apply: Species: Cattle Horse Side:


Left


Location: Shoulder Rib Hip


Thigh Side Flank Loin Jaw All locations


Right


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