Intention Form for 2009 planting Season

Intended Value Added Programs at Ursa Farmers Coop. for 2009-2010     

Program    -                      Premium   -     Delivery Time  --  Delivery Location –  Contracted Bu.

Non-GMO Soybeans----------$1.00-------------------Dec. or  April  ---------Meyer   or Warsaw __________________

Pioneer 93B82 Soybeans--------$1.20--------------Dec. or April -------------Meyer or Warsaw  ___________________

Non-GMO Corn------------------25-cents-----------Harvest Delivery----------Meyer or Warsaw  __________________

Non-GMO Corn--------------25-cents---------Dec.—March—May--June-----Meyer or Warsaw__________________

Lewis 6442 Food Grade Corn------$1.10---------------------------- April------Meyer or Warsaw _Booked Full______

This is an Intention Form only and is not Binding for either party involved, Ursa Farmers Coop. or the grain producer.

Harvest Delivery Moisture on IP Corn needs to be less than 18%

All programs subject to change at UFC discretion do to demand changes, contract availability and volume.

All premiums are over and above final UFC sale  price, NOT over CBOT futures price.

Premiums will be paid when grain is sold.  Pricing programs similar to commodity grain programs at UFC

Please fill in intended  bushels. Please sign and date. UFC representative will get back in touch with you concerning contract availability and any further sign up procedures.

Grower Name__________________________________Grower Signature_________________________________

Address        ___________________________________               Date     ________________________________

City, State, Zip__________________________________ Cell Phone#_____________________________________                                

e-mail Address __________________________________ Phone #     ______________________________________