Florida Watermelon Association, Inc. 808 EAST MAIN STREET IMMOKALEE, FL  34142 Office: (239) 658-1442 Fax: (239) 658-1448    MEMBERSHIP APPLICATION DATE:_______________________ NEW_________ RENEWAL________________ NAME:________________________________________________________________ COMPANY NAME:______________________________________________________ ADDRESS:______________________________________________________________ CITY:____________________________STATE:______________ZIP:______________ BUSINESS PHONE:____________________ FAX:_____________________________ HOME PHONE________________________ MOBILE:__________________________ EMAIL ADDRESS: _______________________________________________________ MEMBERSHIP TYPE GROWER _________ $ 75.00  TRUCK BROKER __________$ 125.00 ASSOCIATE _________ $ 75.00  GROWER / SHIPPER__________$ 125.00 SUPPLIER _________ $ 75.00  SHIPPER ONLY   __________$ 125.00 TRUCK HAULER______ $ 75.00  RETAIL / WHLS __________$ 125.00 SIGNED___________________________________TITLE________________________ SOLICITED BY__________________________________________________________ THE ABOVE DUES INCLUDE MEMBERSHIP IN THE NATIONAL WATERMELON ASSOCIATION AND A YEAR SUBSCRIPTION TO THE NWA BULLETIN. MEMBERSHIP RUNS FROM JANUARY 1 TO DECEMBER 31 EACH YEAR.