Invoice for Annual Membership

Company Name ___________________________________
Address _________________________________________
City, State, Zip ___________________________________
Telephone Number _____________ Fax _______________
Contact Person ___________________________________

Annual Sales Volume	Annual Dues
Affiliated Member	$100
Less than $1 million	$250
$1 million to $5 million	$400
$5 million to $10 million	$500
$10 million and over	$600
Supplier Membership	$600

Enclosed is a check for $_______ as our Company's annual dues investment in the Leafy Greens Council's Promotional and Member Service programs for the current year.

Please remit to:

Leafy Greens Council
33 Pheasant Lane
St. Paul, MN 55127

Supplemental Service Information
	Major Products Marketed
___ Grower-Shipper	__________
___ Terminal Market Wholesaler	__________
___ Broker	__________
___ Supplier	__________

* Denotes suppliers to the industry

Date ___________________