Fields marked with an * are required Title Membership Application (New and Renewal) Types of Membership Farmer Members$250 -- Farmer greater than $10,000 in gross farm income$100 -- Farmer less than $10,000 in gross farm income/Farm Employee$50 -- Retired farmer (No farm income) Supporting Members$250 -- Business Supporter/Service Provider learn more$100 -- Current Use Landowner$75 -- Supporter/Non-Farmer$30 -- Student supporting member Payment is easy! Make payment with Credit Card below by clicking YouPay! A 3.5% administration fee will be automatically applied to all forms of electronic payments.If online payments are not for you, please call the office at 603-224-1934 with your credit card information (fee still applies) OR mail a check. It's that easy to join Farm Bureau! Prefer to mail in an application? Print off either of the forms below and mail to the office:New Membership ApplicationRenewal Membership Application Are you a renewing member? * Yes No Select First Name * Last Name * NHFB Member # (Renewing) Farm Name Mailing Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Email * Phone Commodities/Services - Check all that apply Commodities/Services - Check all that apply Primary Commodity Other Commodities: Aguaculture - Equine Aquaculture Ag Service Provider Agri-Tourism Beef Cattle Christmas Tree Commercial Fishery Corn/Grain Dairy Equine Other Commodities: Farm Stand - Honey Farm Stand Farmer's Market Participant Flowers/Herbs Forage Crops/Hay Forest Products Fruit/Berry Goats Greenhouse Production Honey Other Commodities: Landscaper - Vegetables Landscaper Maple Nursery Pork Poultry/Eggs Sheep Specialty Foods Turf Vegetables Other Livestock Other Product Are you interested in any of the following programs or committees? Are you interested in any of the following programs or committees? Young Farmers (for ages 16-35) Associated Women (for women with a passion for agriculture) Ag in the Classroom Board Member Policy Development Legislative Activity Membership Committee Special Events Committee Promotion/Education Committee Degree of Farming Full-time Farmer Part-time Farmer Retired Farmer Agribusiness Ag Professional Farm Employee Ag Student Select if applicable Number of Acres Owned/Leased 0-49 50-99 100-249 250-499 500 and over Select if applicable Do you have land under Current Use Taxation? Yes No Are you a certified organic producer? Yes No Are you a U.S. Veteran? Yes No Friday Review - legislative updates, please choose an option: E-mail me to save postage and paper I do not wish to receive The Friday Review Who Encouraged You to Join Farm Bureau? Please select your Membership Level: * FARMER: greater than $10,000 gross ag income ($250 dues) FARMER: $1-10,000 gross ag income ($100 dues) Retired Farmer ($50 dues) Current Use Landowner ($100 dues) Supporter/Non-Farmer ($75 dues) Student ($30 dues) Business Supporter/Service Provider ($250 dues) Any other notes to the NHFB Office? Payment Method * I will use youpay on the next page after I submit this form I will mail my check to the Farm Bureau I will call the Farm Bureau office and use my credit card If you are a human seeing this field, please leave it empty.
