INTERESTED IN JOINING U.S.C.H.I.?

To join U.S.C.H.I., please fill out the form below. If paying by check, send payment to:

U.S. Custom Harvesters, Inc.
119 W. Sherman
Hutchinson, KS 67501

** Annual dues run from Jan 1st - Dec 31st with the exception of the Lifetime Membership. You will receive a free subscription to the monthly magazine Harvest News; Free classified ads in the Harvest News for harvester members; Free membership directory; Invitation to the annual convention; Free safety handbooks and videos; Included in all lobbying efforts; Built in networks and relationships with other people involved in the industry.

** Associate members can advertise in our newsletter

Company or Business Name:
Type of Business:
Member Name:
Street Address:
City:		State:
Zip Code:
Home Phone:		Cell Phone 2:
Cell Phone:		Fax:
Email Address:		Web:
No. of Combines:		Brand:
No. of Choppers:		Brand:
No. of Trucks:		Brand:
Years of Experience:

Check if you want your cell phone published in the directory.

Check if you want your information available on the website.

Check if you would be interested in serving on a committee. (Safety, Scholarship, Legislative).

Check if you would be interested in running for the Board of Directors.

"Harvest News" shipped First Class ($12.00)

Harvester Membership ($200.00)

Associate Membership ($150.00)

Non-U.S. Harvester Membership ($250.00)

Lifetime Membership ($1750.00)

Referred by

Form of payment: Credit Card    Sending Check	If by Credit Card, check card type: Visa     Master Card     Discover
Credit Card Number:	Name on Credit Card:
Expiration Date:	CVV:
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