Fibermax OTC 2023 Submission Form

HiddenPanel_EditWithCaution
Main
Section
Submit
Image

HiddenPanel_EditWithCaution
Main
Section
Submit

formId

Putting the Ton in Cotton.

Producing a literal ton of high-quality, FiberMax cotton is no small feat. It's an accomplishment worthy of recognition, which is why we created the club. It also deserves an equally substantial reward – like a chance to win a two-year lease on a Ford Super Duty^® F-350^® Lariat truck.

We'll celebrate our One Ton Club^™ members in Lubbock, Texas, on April 4, 2024. We can't wait to celebrate your accomplishments this spring!

FiberMax One Ton Club Qualification Form for 2023 Season

* Indicates a required field.

*Grower Name and Spouse Name, if applicable:

*Farm Name:

Business Partner Name and Spouse Name, if applicable:

Information About Your Farm and Family (so we can get to know you better):

*Address:

*City:

*State:

*Zip Code:

Home Phone:

Mobile Phone:

*Email:

BASF Agronomic Solutions Advisor's (ASA) Name:

Please answer the following questions related to your qualifying FiberMax One Ton Club cotton. If you would like to enter more than one field, please submit in a spreadsheet and send to onetonclub@basf.com.

Varieties Planted	Acres Harvested	Average Yield Per Acre of Lint Cotton	Average Loan Value Received

We will use the following information for the One Ton Club member gifts.

Name for Plaque:

New club members will receive a jacket. If this is your first time qualifying, indicate your jacket size - one jacket per member, please. Women receive a different gift. If they would like a jacket instead, please contact your Agronomic Solutions Advisor.

Men's Size:

XXL

XXXL

Publicity & Privacy Policy

Except where prohibited by law, each applicant hereby grants BASF and those acting on its behalf permission to use his/her name, voice, and/or likeness and any and all identifying characteristics including, but not limited to, the taking of photograph(s) and/or video(s) by or on behalf of BASF, for advertising and/or publicity purposes. Applicant further grants to BASF a royalty-free, worldwide, perpetual, irrevocable and assignable right to use such photograph(s) and/or video(s), including derivative works of same, in any and all media (including, but not limited to, websites, social media, press releases, and printed publications and materials) now known or hereinafter invented. Applicant understands and acknowledges that specific categories of her/his Data may further be subject to the Privacy Policy found at https://www.basf.com/us/en/legal/data-protection.html, which describes how Personally Identifiable Information and Non-Personal Information, as defined in the Privacy Policy, may be collected, processed, stored and used.

FiberMax One Ton Club Sweepstakes

NO PURCHASE NECESSARY. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING. Open to AL, AR, AZ, CA, GA, KS, LA, MO, MS, NM, NC, OK, SC, TN, TX and VA, age of 18 and up, invited to the FiberMax One Ton Club and who meet full eligibility requirements in Official Rules. All entries must be received/postmarked, as applicable, before the Sweepstakes Entry Periodend time/date to be valid. Void outside of AL, AR, AZ, CA, GA, KS, LA, MO, MS, NC, NM, OK, SC, TN, TX and VA and where prohibited. See rules for entry requirements and full details. Sponsor: BASF, 2 TW Alexander Drive, Research Triangle Park, NC 27709.

For legal residents of AL, AR, AZ, CA, GA, KS, LA, MO, MS, NC, NM, OK, SC, TN, TX and VA. If you would like your form to also be submitted to the FiberMax One Ton Club Sweepstakes, please read and agree to the Official Rules located here by checking the first box below. You will not receive an entry in the Sweepstakes until and unless you have been verified by sponsor as an eligible entrant.

Terms and Conditions of the Authentic FiberMax Cotton Program

By participating, you verify that you agree to all of the Terms and Conditions of the Authentic FiberMax Cotton program, located here.

Please keep the above information for future FiberMax One Ton Club qualification and communication.

I would like to receive emails from BASF with information that affects my crops, products, offers or services that can help support my business. Acceptance not required for entry into Sweepstakes (see details below).

By signing this document, I verify that:

I produced a minimum of 2,000 lbs of FiberMax cotton per acre on at least 20 acres.
I will submit gin recap sheets to verify yield by February 29, 2024.
I am a legal resident of AL, AR, AZ, CA, GA, KS, LA, MO, MS, NC, NM, OK, SC, TN, TX or VA, and I submit this form for potential entry into the Sweepstakes and agree to the Official Rules.

Scribble Signature:

Date:

Form must be submitted by February 29, 2024.

For more information about the FiberMax One Ton Club:
Contact your local Agronomic Solutions Advisor.

To be removed from our Sweepstakes mailing list, please call 877-322-9586, or email us at basf.customerservice@agdata.com.

Please click on the button below to upload your gin recap sheet.