PIFSCo Membership Application

Membership Application

Important: Completion of this application IS NOT a confirmation of approved PIFSCo membership. Once your application is reviewed and approved, the company representative will be emailed a membership contract and an invoice for payment. If you have any questions, contact Dr. Denise Heard, dheard@uspoultry.org.

Applicant Details

Company Name

Representative First Name

Representative Last Name

Company Mailing Address

Address 2

City

State/Province

ZIP/Postal Code

Country

Office Phone

Company Directory Information

Note: Fill in fields as you would like them listed in the "Member Companies" directory.

Contact First Name

Contact Last Name

Company Description

1000 characters remaining

Accepted Payment Methods

PIFSCo offers four different payment methods. For Credit/Debit card, we accept AMEX, Discover, MasterCard, and VISA. We also offer Wire Transfer, ACH, and Check options.

Please note: Credit/Debit Card payments will incur a 3% processing fee based on your dues amount. Wire transfers will incur a flat $35.00 processing fee.

Membership Dues (Prorated depending on current quarter)

It is currently the PIFSCo 1st Quarter: (July-September). Your estimated membership dues are: $1,000.00. Estimated dues are calculated based on the date and time the application is submitted and will be used if your application is approved for invoicing.