NON-BT COTTON ACREAGE REGISTRATION FORM
MAIL COMPLETED FORM BY DEADLINE
(30 days after tillage deadline - see Arizona Administrative Rule R3-4-204)
	RETURN THIS FORM EVEN IF NON-BT ACREAGE IS ZERO
WARNING:  Failure to register all non-Bt acreage may result in $200/acre fine (ARS 3-1086.02)
Farm Name
Contact Name
Mailing Address
City / State / Zip
Phone (with area code)
Fax (with area code)
Cell phone (optional)
E-mail (optional)
County
Crop Year		2008
List your planting intentions for current crop year	FSA Farm#	Non-Bt Acres
	TOTAL
	NON-BT ACREAGE FEE	X $32
REMIT THIS AMOUNT TO ACRPC WITHIN 60 DAYS OF NON-BT REGISTRATION DEADLINE	AMOUNT DUE	$