Rhode Island Farm Bureau

PAY DUES
MEMBERSHIP RENEWAL

To renew your membership in RI Farm Bureau, please complete the form below, hit "Submit"
and follow the payment instructions on the next page.

Membership Renewal Fee

REGULAR MEMBER (farmer; voting member) - $125
ASSOCIATE MEMBER (non-voting member) - $45
FRIEND OF FARMER MEMBER (no benefits) - $25
Optional Legal Fee Donation - $3

Name*

Date of Birth

Address*

City/Town*

State*

Zip*

Phone*

Cell

E-Mail*

 

 

Unmarried children
living at home:

 

 

 I am a farmer          I am not a farmer

 

 

If you are a farmer...

Farm Name

What crops and/or animals do you raise?

American National
Farm Family
Agent Name

 

Would you like to learn about our Young Farmers & Ranchers Committee?
(ages 18-35)
 Yes          No

 

 

I will be paying by check

I will be paying by credit card


* REQUIRED

 

 

Copyright 2010-2018 Rhode Island Farm Bureau. All rights reserved.
Rhode Island Farm Bureau : 16B Nooseneck Hill Rd : West Greenwich, RI 02817
Phone: 401-385-3339 : Fax: 401-385-3394

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