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 Renewal Form*

*Please note:   If you do not have any information changes, you may use this form. If you do have 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.

Membership classifications are listed on your membership card.

Applicants who selected “farmer”, “part-time farmer” or “agri-business” in the Profession category are classified as “regular” members. If you did not check any box in that selection, or didn’t list a farm name, you were 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*
County*
Membership Number
Email
   
   
 
Comments:

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

Agent Name
Agent #
Agent E-mail
Agent Phone #


 






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