New York
Farm Bureau

 

Membership Application

(New members only, please. To renew your membership, please click here.)

Membership in the New York Farm Bureau gives farmers and non-farmers alike the opportunity to be part of an organization dedicated to supporting and enriching the rural way of life. An organization whose resources benefit every New Yorker. Your involvement in the New York Farm Bureau strengthens our efforts to protect your rural heritage. We urge you to support these efforts by becoming a member of New York Farm Bureau. Together, we can continue to meet the needs of all who make farming their livelihood...and rural New York their home.

Please complete the following section. Then print this form and mail it to the address at the bottom with your remittance. Membership status is pending until accepted or denied by the County Farm Bureau. It is the policy of New York Farm Bureau that membership dues are not refundable.

Name
Title or Occupation
Organization or Farm Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work or Farm Phone
Home Phone
Fax
E-mail
Web Page URL

Please tell us a little about your farm or organization. In the spaces provided below, please list the major commodities produced by your farm, your farm interests or list the type of business. 

Commodity or Business Emphasis

If you want to charge your membership to a credit card, please provide the 
following  information:

BILLING

Credit Card

Cardholder Name
As it Appears on your card 
Card Number
Expiration Date

Choose one of the following options: (Upon membership application acceptance, the appropriate County Farm Bureau determines the membership category of new and renewing members.)

Regular (farmer)
Associate
New Member Student
 Ages 16 - 21 years

If applying for Junior membership, please enter birth date in the space provided below.

Choose one of the following counties for your membership:

Signature: __________________________________________Date:_______________

   

At this time, New York Farm Bureau is not able to accept membership applications through this web site. Once you have completed this form, use your computer's print option to print this page. Then sign and date. Include a check for appropriate dues amount for the county you selected ($20 for Student Membership) or complete the credit card information section of this form, then send to:

New York Farm Bureau
159 Wolf Road,  PO Box 5330
Albany, NY 12205-0330

Copyright © 2003 New York Farm Bureau, Inc.  All rights reserved.
Revised: November 2006

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New York Farm Bureau
159 Wolf Road, P.O. Box 5330, Albany, NY 12205-0330
Phone: (518) 436-8495 Fax: (518) 431-5656
Last Updated November 21, 2008
Send questions or comments to:
NY Farm Bureau

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