McDonough County Farm Bureau

Membership Application Request

Please complete the following form.

First Name:

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Last Name:

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Spouse or Civil Union Partner

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Spouse or Civil Union Partner's Last Name:

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Address:

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Address 2:

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City:

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State:

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Zip:

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County:

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Email:

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Phone:

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Are you a farm operator?

Are you a farm land owner?

Do you earn over $2,500 of farm income?

How much does it cost to be a Farm Bureau member?

Associate Members

December-February	$20
March-May	$15
June-August	$10
September-November	$5 + $20 ($5 for the 4th quarter of the first year plus dues for the second year

Voting Members

December-February	$65
March-May	$48.75
June-August	$32.50
September-November	$81.25 ($16.25 for the 4^th quarter of the first year plus $65 for the second year)

Dues notices are sent annually at the end of October and the beginning of November. All dues are due to the McDonough County Farm Bureau no later than December 1^st. Late fees of $10 are accessed to any payments received after December 1^st. All unpaid memberships are canceled annually on February 1.