Home                           Membership Form

Membership in the Chenango County Farm Bureau (New York Farm Bureau and American Farm Bureau Federation) 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 Farm Bureau strengthens our efforts to protect your rural heritage. We urge you to support these efforts by becoming a member of 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 Chenango County Farm Bureau. The County will determine if you will be listed as a regular or associate member based upon farming involvement.

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

I

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
Renewal
New Member
Student
 Ages 16 - 21 years

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

Signature: __________________________________________Date:_______________

   

At this time, Chenango County 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 $75.00 dues amount for one year's membership ($20 for Student Membership and Renewals are $75.00 if paid for BEFORE November 1st, after October 31st Renewal is $85.00).then, send to:

Chenango County Farm Bureau
% Rainy Collins-Vickers
6083 State Hwy 12 N
Norwich, NY 13815