ICA Membership Application Member Number (If Renewing Your ICA Membership) Contact Name* Ranch/Business Name* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County* Phone*Email* General Member Benefits: New members receive a 12"x18" aluminum "No Trespassing" gate sign ICA membership card ICA member decal ICA Weekly E-Blasts Subscription to the Southern Livestock Standard ($20 value) Networking opportunities Local chapter meetings Timely updates on legislative and industry information. Many of these updates come instantly via EMAIL. Membership Levels:Wrangler Quantity Price: $125.00 Quantity Includes General Member BenefitsRancher/Family Quantity Price: $150.00 Quantity Includes General Member BenefitsCattle Boss Quantity Price: $250.00 Quantity Includes General Member Benefits, and NEW MEMBERS receive an ICA CapExtra Hand Quantity Price: $500.00 Quantity Includes General Member Benefits, and NEW MEMBERS receive an ICA Cap & T-shirtNEW Extra Hand: Please indicate if you would like the T-shirt Yes No If yes, please select size S-3XL Small Medium Large XLarge XXLarge XXXLarge Top Hand Quantity Price: $1,000.00 Quantity Includes General Member Benefits, and NEW MEMBERS receive an ICA Cap, T-shirt, & Liability SignNEW Top Hand: Please indicate if you would like the T-shirt Yes No If yes, please select size S-3XL Small Medium Large XLarge XXLarge XXXLarge Junior/Collegiate Quantity Price: $50.00 Quantity Includes General Member Benefits, and T-ShirtBusiness Associate-Select Quantity Price: $150.00 Quantity Includes General Membership Benefits, and an ICA Supporter SignBusiness Associate-Choice Quantity Price: $300.00 Quantity Includes General Membership Benefits, ICA Supporter Sign, Logo Display on ICA Website and Weekly E-News, and $50 off Vendor Booth Fee at ICA’s Annual Convention and TradeshowBusiness Associate-Prime Quantity Price: $600.00 Quantity Includes General Membership Benefits, ICA Supporter Sign, Logo Display on ICA Website and Weekly E-News, $100 off Vendor Booth fee at ICA’s Annual Convention and Trade Show, 1 Promotional Piece in the ICA E-News, 1 Promotional Post on the ICA Facebook & Instagram Pages, and 1 Promotional Mention in the Southern Livestock Standard ICA Round-Up Review IssueSelect T-shirt Size (If included with the Membership Level selected) Small Medium Large XL 2XL 3XL Optional: Donation to ICA scholarship fund, Disaster Relief Efforts, and Memorial Arrangements. (Please Indicate Donation Amount and Purpose. Note: Donations do not go towards Membership Dues. ICA Promo Code Total $0.00 Payment Method* I will mail a check for the above total to the ICA Office at PO Box 1168, Lockhart, TX 78644 I will provide my credit card details here so ICA can process the charges. Please provide your credit card details here. Please include:Type of card: (Visa, MasterCard)* Name of Cardholder:* Card Number:* Expiration Date:* ID number on back of card:* Dues to Independent Cattlemen’s Association are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. The nondeductible portion of dues is 15%.CommentsThis field is for validation purposes and should be left unchanged.
