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

Primary Commodity Apiculture Apples (fresh) Apples (processing) Aquaculture Beef Berries CAFO Camelids (Alpacas, llamas) Cash Crops Cash Crops (other) Cervids (deer, elk) Charter boat captain Cherries Christmas trees Cow boarding Dairy Dairy (sheep/goats) Duck Eggs Equine Farm market Farm winery Feed grains Floriculture (flowers) Fruit Fruit (other) Goats Grapes (fresh) Grapes (processing) Green market Greenhouse Hay and straw Honey Horse boarding Horticulture Landscaper Livestock Livestock (other) Maple products Nursery Pears (stone fruits) Poultry Poultry (other) Ratites (emus, etc.) Replacement heifers Seed production Sheep Specialty crops Specialty items (other) Swine Timber operation Turkey U-pick Veal Vegetables (fresh market) Vegetables (processing) Woody biomass

Secondary Commodity Apiculture Apples (fresh) Apples (processing) Aquaculture Beef Berries CAFO Camelids (Alpacas, llamas) Cash Crops Cash Crops (other) Cervids (deer, elk) Charter boat captain Cherries Christmas trees Cow boarding Dairy Dairy (sheep/goats) Duck Eggs Equine Farm market Farm winery Feed grains Floriculture (flowers) Fruit Fruit (other) Goats Grapes (fresh) Grapes (processing) Green market Greenhouse Hay and straw Honey Horse boarding Horticulture Landscaper Livestock Livestock (other) Maple products Nursery Pears (stone fruits) Poultry Poultry (other) Ratites (emus, etc.) Replacement heifers Seed production Sheep Specialty crops Specialty items (other) Swine Timber operation Turkey U-pick Veal Vegetables (fresh market) Vegetables (processing) Woody biomass

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

	BILLING
Credit Card	VISA MasterCard
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:

County County and dues rate Albany Dues $65 Allegany Dues $65 Broome Dues $65 Cattaraugus Dues $65 Cayuga Dues $65 Chautauqua Dues $65 Chemung Dues $65 Chenango Dues $65 Clinton Dues $65 Columbia Dues $65 Cortland Dues $65 Delaware Dues $65 Dutchess Dues $65 Erie Dues $75 Essex Dues $65 Franklin Dues $65 Fulton Dues $65 Genesee Dues $65 Greene Dues $65 Herkimer Dues $65 Jefferson Dues $65 Lewis Dues $65 Livingston Dues $65 Long Island Dues $80 Madison Dues $65 Monroe Dues $65 Montgomery Dues $65 Niagara Dues $75 Oneida Dues $65 Onondaga Dues $65 Ontario Dues $65 Orange Dues $65 Orleans Dues $75 Oswego Dues $65 Otsego Dues $65 Rensselaer Dues $65 Rockland Dues $65 St. Lawrence Dues $65 Saratoga Dues $65 Schenectady Dues $65 Schoharie Dues $65 Schuyler Dues $65 Seneca Dues $65 Steuben Dues $65 Sullivan Dues $65 Tioga Dues $65 Tompkins Dues $65 Ulster Dues $65 Washington Dues $70 Wayne Dues $65 Wyoming Dues $65 Yates Dues $65

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