Print, fill out, and send petitions for the referendum petition drive to the address below:
Campaign for Family Farms,
PO Box 3016 ,
Des Moines,
IA 50316
We, the undersigned U.S. pork producers, petition the Secretary of Agriculture to conduct a referendum to terminate (end) the mandatory Pork Promotion, Research, and Consumer Information Order and the mandatory pork check-off program that it covers. We support a voluntary check-off program.
By my signature, I certify that after January 1, 1997, I have sold one or more swine and have been assessed check-off payments. (Only one person may sign per business entity that owns and sells swine.)
______________________________ Date |
____________________________________ Print Name |
__________________________ Signature |
___________________________________________ Address |
_________________________________ City |
_______________ State |
___________________ ZIP |
___________________________________________ Phone |
___________________________________ Business name swine are sold under, if any |