WSA 2024 Retiree Recognition Form

The Western Seed Association would like to recognize members who are retiring in the current year or prior to the next convention at a reception during the WSA 2024 Convention.  If you know a member who is retiring, please take a few minutes to let us know so that we may recognize their dedication to the seed industry.


Name of person submitting the form.: *
Email of person completing the form.: *
Phone number of person completing the form.: *
Name of person retiring.: *
Retiree's employers name.: *
Please tell us why you would like to see this person recognized at the WSA Convention.: *
Please upload a photo of the retiree as a .png or .jpg file. If you are unable to upload please email the photo directly to membership@westernseed.org.:
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)