NAME

ADDRESS

CITY

COUNTY

STATE Zip

Phone - -

E-Mail

Check Occupation (check all that apply)

Grower

PCA

Packer

Research/Gov/Ed

Assn/Commission

Supplier/Mfg/Svc

Ad Agency

Other

List Acreage Totals - (all fields must be filled in. Use a zero where you have no acreage)
Apples

Apricots

Avocados

Cherries

Dates

Figs

Grapefruit

Lemons

Limes

Nectarines

Olives

Navel Oranges

Valencia Oranges

Cling Peaches

Freestone Peaches

Pears

Persimmons

Dried Plums

Fresh Plums

Pomegranates

Pomelos

Quince

Tangelos

Tangerine & Mandarin Hybrids

Tropical

Please Answer Personal Question below for verification Purposes

What High School did you graduate from?