Online Membership Form

All fields marked with an * must be completed
 
First Name (First, MI)
*
Last Name
*
Farm/Business Name
Mailing Address
*
City
*
State
*
Zip
*
Contact Person
Type: * Join    Renew
 
Membership Category*
(for explaination, see below)
Full Time Farmer ($150 annual dues)
Part Time Farmer ($70 annual dues)
Associate Member ($70 annual dues)
Business Member ($70 annual dues)
Friend of Agriculture ($70 annual dues)
County:
Phone: 999-999-9999
*
Fax

Email
*
Website

Link CFBA to my site

  
 
Do you currently hold public office? YesNo
 
What type(s) of agriculture are you involved in?
(check all that apply)

Aquaculture
Beef Cattle
Poultry
Other Livestock (specify)
Dairy
Equine
Forage Crops
Forestry
Fruit (type)
Greenhouse /Nursery
Honeybees
Vegetables (type)
Vineyard
Other (specify)
Agri-tourism
Farmers' Markets
Organic
Retail
Wholesale
Other
 
Farming Status
Owner   acres      Operator  acres
 
List other agricultural associations you belong to:
 
Areas of Interest
Women's Committee
Legislative
Policy Development
Young Farmers (Ages 18-35)
Equine Committee
 
Please send me information about: Insurance Member Benefits
 
Referred by:
 
Agent Name:   Agent Number (if available):

Membership in Farm Bureau

Your membership in Farm Bureau is a family membership, unmarried family members age 21 or under, living in the same household, may be included with their parent(s) membership.

Full-Time Farmer-$150 Annual Dues: A person who makes their livelihood by farming, or a farm requiring at least one full-time worker. The farmer or the representative of the farm has voting privileges in the organization. A full-time farmer may participate in the full range of Farm Bureau offerings including its insurance programs and will receive CFBA's regular newsmagazine From the Farm.

Part-Time Farmer-$70 Annual Dues: A person who has farming as a secondary occupation, or a farm that does not require at least one full-time worker. The farmer or the representative of the farm has voting privileges in the organization. A part-time farmer may participate in the full range of Farm Bureau offerings including its insurance programs and will receive CFBA's regular newsmagazine From the Farm.

Associate Member-$70 Annual Dues: A non-farmer who joins to support CFBA's work. An associate member may participate in the full range of Farm Bureau offerings including its insurance programs and will receive CFBA's regular newsmagazine From the Farm.

Business Member-$70 Annual Dues: A corporation or local business that works for and with farmers. A business member may participate in the full range of Farm Bureau offerings including its insurance programs and will receive CFBA's regular newsmagazine From the Farm.

Friend of Agriculture-$70 Annual Dues: A way to show support for farming and agriculture in Connecticut. A friend of agriculture member is not eligible to participate in Farm Bureau member services and benefits, but will receive CFBA's regular newsmagazine From the Farm.
 
IMPORTANT NOTICE: Dues are not deductible as a charitable contribution. An estimated 13% of your membership dues are used by CFBA for lobbying purposes. The remainder of your dues may or may not be deductible under IRS rules. Please contact your tax advisor.
 
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