Form of Membership, Marketing, And/Or Purchasing

EXHIBIT 10 (C)(6)


MEMBERSHIP, MARKETING, AND/OR PURCHASING AGREEMENT
OF GOLD KIST INC., ATLANTA, GEORGIA


For the undersigned to be recorded as a member and be eligible for patronage refunds and other member benefits, this agreement must be accepted and on file at Gold Kist Inc. headquarters.


------------------------------------- Print Clearly - ------------------------------------------------------------------------------------------------------------------------------------
First Name (or Name of Partnership or Corporation) Init. Last Name Social Security No. (or Fed .ID. No.)
----------------------------------------------
Country of Residence - ------------------------------------------------------------------------------------------------------------------------------------
Name of Farm, if different from above
Location No. Patron No.
----------------------------------------------


_____________________________________________________________________________________ Street or RFD No. FOR ATLANTA OFFICE USE
---------------------------------------------- _____________________________________________________________________________________ City State Zip Code + 4 Member No. St. Code Co. Code - ------------------------------------------------------------------------------------------------------------------------------------


Status of Member: (Always check one)


[__] Proprietorship
_______________________
Owner's Date of Birth
[__] Partnership (print full names of all partners)


___________________________________________________________ _______________________
First Name Init. Last Name Date of Birth


___________________________________________________________ _______________________
First Name Init. Last Name Date of Birth


___________________________________________________________ _______________________
First Name Init. Last Name Date of Birth

[__] Corporation - (Print Name and Title of person signing membership agreement)


___________________________________________________________________________________________
Name and title of person signing below.


CERTIFICATION: Under penalties of perjury, I certify that:


(1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to
me),AND


(2) I am not subject to backup withholding either because I have not been notified by the Internal Revenue Service (IRS) that I am
subject to backup withholding as a result of a failure to report all interest or dividends, or the IRS has notified me that I
am no longer subject to backup withholding (does not apply to real estate transactions, mortgage interest paid, the acquisition
or abandonment of secured property, contributions to an individual retirement arrangement (IRA), and payments other than
interest and dividends ...