Company Name
First Name
Last Name
Title
Email
Phone
Organization Website
Address
City
State/Province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip Code/Postal Code
Country United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d’Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Membership Type Trade Membership: Voting (see dues beside gross revenue below) Farmstead: Voting (Dues - $50) Business Associate Membership: Non-voting (see dues beside gross revenue below) International Associate Membership: Non-voting (see dues beside gross revenue below)
Gross Organic Revenue (Trade / International Dues) $100,000 or less ($360 annually) $100,001-1 million ($600 annually) $1-2.5 million ($1,450 annually) $2.5-5 million ($2,540 annually) $5-10 million ($3,590 annually) $10-15 million ($5,710 annually) $15-30 million ($7,820 annually) $30-50 million ($11,650 annually) $50-75 million ($19,100 annually) $75-100 million ($23,000 annually) $100-150 million ($34,650 annually) $150-200 million ($39,800 annually) $200-300 million ($47,750 annually) $300-400 million ($49,350 annually) $400-500 million ($50,700 annually) $500-600 million ($63,800 annually) $600-700 million ($67,000 annually) $700-800 million ($68,000 annually) $800-900 million ($69,000 annually) $900 – 1 billion ($70,000 annually) $1.0 – 1.1 billion ($71,000 annually) $1.1 – 1.2 billion ($72,000 annually) $1.2 – 1.3 billion ($73,000 annually) $1.3 – 1.4 billion ($74,000 annually) $1.4 – 1.5 billion ($75,000 annually) $1.5 – 1.6 billion ($76,000 annually) $1.6 – 1.7 billion ($77,000 annually) $1.7 – 1.8 billion ($78,000 annually) $1.8 – 1.9 billion ($79,000 annually) $1.9 – 2.0 billion ($80,000 annually) $2.0 – 2.1 billion ($81,000 annually) $2.1 – 2.2 billion ($82,000 annually) $2.2 – 2.3 billion ($83,000 annually) $2.3 – 2.4 billion ($84,000 annually) $2.4 – 2.5 billion ($85,000 annually) $2.5 – 2.6 billion ($86,000 annually) $2.6 – 2.7 billion ($87,000 annually) $2.7 – 2.8 billion ($88,000 annually) $2.8 – 2.9 billion ($89,000 annually) $2.9 – 3.0 billion ($90,000 annually) Membership dues are calculated based on a company’s total annual organic sales (trade members) or total annual sales (associate members). OTA’s sliding scale gives you the flexibility to adjust your dues level and payment amount with an increase or decrease in your revenues.
Business Associate Revenue (and Dues) <$100,000 ($600 annually) $100,001-1 million ($750 annually) $1-5 million ($1,590 annually) $5-15 million ($3,590 annually) Membership dues are calculated based on a company’s total annual organic sales (trade members) or total annual sales (associate members). OTA’s sliding scale gives you the flexibility to adjust your dues level and payment amount with an increase or decrease in your revenues.
USDA NOP ID(s) USDA NOP ID (listed on your certification - or provide link to certifications in OID)
Percent of business that is organic
Number of Employees
List of Products in Transition
URL to logo
Does the owner of your business/company identify with any of the following races/ethnicities? Black Hispanic/Latinx Native American/Indigenous American/Alaska Native Pacific Islander Woman Other Why are we asking for this information? Visit: www.ota.com/JEDI
Other
Number of locations
How did you hear about us OTA Staff Outreach OTA Member Referral OTA Networking Event Trade Show Social Media OTA Website Online Advertising Other
Hear about us (OTHER)
Reasons for Joining Business ConnectionsIndustry SupportInformation & ResourcesMember BenefitsTo have a voice
Comments
Signature: To the best of my knowledge, the information provided is complete and accurate. By signing this document, we agree to support OTA’s Code of Ethics (linked below).
Code of Ethics Signed Date
By signing this document, we agree to support OTA’s Code of Ethics.