United States National Committee

on Sugar Analysis

APPLICATION FORM FOR USNC MEMBERSHIP

Please use this form for re-instating membership or for a new membership.

Membership in the U.S. National Committee on Sugar Analysis is by Company. A company designates one member to be the Director member. A company may also designate an unlimited number of associate members. The annual dues for the Director is $100.00; annual dues for an associate member is $35.00.

Name_____________________________________________________________

Company__________________________________________________________

Address___________________________________________________________

__________________________________________________________________

Tel:______________________ Fax:______________________

E-mail: _____________________________________________

Status of Membership (check one): Director______ Associate Member ________

Amount enclosed $ ____________

Please make check payable to: U.S. National Committee or USNC

Please mail to:

Mary An Godshall

Sugar Processing Research Institute, Inc.

1100 Robert E. Lee Blvd.

New Orleans, LA 70124

E-mail: godshall@srrc.ars.usda.gov