Pennsylvania Farm Bureau
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If you choose not to pay your dues over the Internet, you may print out and mail the application below with a check or money order made payable to Pennsylvania Farm Bureau.

Printable application

 

 

Membership Application Form or Renewal with Changes

*Please note: If you are applying for membership, or are renewing your membership and have information changes, please use this form.

If you are renewing your membership and do not have information changes, please use this form.

After completing the form below, you will be directed to Paypal's secure site to complete your transaction. You may use VISA, MasterCard, American Express, or Discover to pay for your membership dues. It is not necessary to have a Paypal account to complete this transaction.

Your sensitive credit card information will be processed by Paypal's secure site, but not stored by them, and the funds will then be forwarded on to PA Farm Bureau. It is a once and done secure transaction.

You may also use a Paypal account, if you have one or care to open one.

IT IS NOT NECESSARY TO HAVE A PAYPAL ACCOUNT TO PAY THE MEMBERSHIP FEE WHEN USING THIS E-FORM

I understand $3.00 of my yearly dues goes to a one year subscription to either the "Country Focus" or "Keystone Country" publication. Memberships classified as "Regular" farming members will receive 11 issues of the "Country Focus" publication and memberships classified as "Associate" non-farming members, will receive 4 issues of the quarterly "Keystone Country" magazine.

Applicants who select “farmer”, “part-time farmer” or “agri-business” in the Profession category below are classified as “regular” members. If you do not check any box in that selection, or don’t list a farm name, you will be classified as an “Associate” member.

If you have any questions or concerns about this classification, please contact your county Farm Bureau.

*Must be filled in.

Applicant Information
First Name*
Middle Name
Last Name*
Profession*  
Type of Membership
Birthdate
Spouses Name
Farm Name
Address*
City*  
State*
Zip*
County*
Township
Home Phone No.* Area Code
Work Phone No. Area Code
FAX No.
Cell No. Area Code
 
Email
Commodity Interest
*Hold down shift key to select multiples
   
Size of Farm
Operation:
   
Political Party:
 
Signed Up by (optional):
 
Referred by (optional):
 
Reason for joining PFB:

*Nationwide Agents: Please fill out information below. . .

Agent Name
Agent #
Agent E-mail
Agent Phone #


 






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Resources

Publications and Brochures
   Farm Bureau Brochures
   Country Focus Highlights

Ag Information
   Ag Facts & Stats
   County Ag Statistics
   Last USDA Ag Census
   Glossary of Ag Terms
   Ag Events of Interest

Links of Interest
   American Farm Bureau
   PFB Members Websites
   Related Ag Links
   FB Country
   PA Dept of Ag

 

© 2008 Pennsylvania Farm Bureau · General Office: 510 South 31st Street, P.O. Box 8736 Camp Hill, PA 17001-8736 · 717.761.2740