Form No Form number No Form number California Dates Acceptance Letter

OMB No. 0581-0178

The Secretary

United States Department of Agriculture

Washington, D.C. 20250

Dear Sir:

I hereby accept the appointment to the position set forth in the “Selection Order” attached to my letter of notification. I agree to serve during the period for which I am appointed and until my successor has been selected and has qualified.

In accepting this appointment, I also agree to serve to the best of my ability in administering the terms and provisions of Marketing Order No. 987 and the regulations issued thereunder.

When acting in my official capacity as a California Date Administrative Committee representative, I shall engage in only those activities that are authorized under the Marketing Order. I also understand that the Committee cannot become involved in lobbying and political activities.

Sincerely,

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Signature

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Name

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Address

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City, State and Zip Code

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Date

(Rev. 01/2014) Destroy previous editions.