Designated representative, for voting purposes: *
Number of years in shellfish business: *
Geographic location of farm (e.g. west side of Hood Canal near Brinnon): *
Name(s) of another grower near your farm location (if known):
Species you farm (check all that apply):
Oysters
Geoducks
Mussels
Clams
For Emergencies: In case of a toxic spill or other marine emergency, please list the counties where you farm so we can notify you quickly: *
Calculate Your Dues:
Membership dues are based on your annual sales. Calculate your dues amount by taking 1% of the annual farm-gate value of your shellfish (minimum of $250). Farm-gate is the value received when selling product to a buyer or to a processor for further value-added processing.
Example: You harvest and sell clams directly to a distributor for processing. The distributor pays $100,000. Your dues are 1% of $100,000, or $1,000. (.01 x$100,000 = $1,000)
* Annual farm-gate sales of $ x .01 = $ dues amount (Minimum $250) *
Growers can choose to make one yearly payment OR 4 payments (due Jan, Mar, Jun, Sep). Please choose one:
1 yearly payment
4 payments (due Jan, Mar, Jun, Sep)
