Florida Farm Bureau Federation Membership Application

You don't have to be a farmer to be a member of Farm Bureau--Farm Bureau works for us all!

Part 1: Basic Information
*required field
First Name: *
Middle:
Last Name: *

Date of Birth: *

Email Address:

Company Name: *
Email Address:

Address:
Line 1: *
Line 2:
City: * State: Zip: * -
Country:
Phone Number:
Type:
First Name: *
Middle:
Last Name: *

Date of Birth: *

Email Address:

Part 2: Membership Information

Farm Bureau dues include membership in the county Farm Bureau, Florida Farm Bureau Federation and the American Farm Bureau Federation. Annual membership dues include $3.25 for a 1-year subscription to FloridAgriculture. For more information, please contact our Member Services Division at (352) 378-8100, ext. 1502.
Membership County:
Is this a Business Membership?
Choose the statement from the list that best describes your status:
Classification of Membership is at the sole discretion of the respective county Farm Bureau.

Part 3: Payment Information

Membership dues to Florida Farm Bureau are not tax deductible as charitable contributions, but may be deductible under other provisions of the Internal Revenue Code as an ordinary and necessary business expense.
Your membership was successfully created, and is currently in a pending status for up to 24 hours, or until payment is received on it. You may try another form of payment now or contact your local Farm Bureau office to complete your transaction within 24 hours for this membership to become active. You can let the Florida Farm Bureau representative know that your new member number is .
Total Charge:
Payment Method: *

Card Number: *

Expiration: *
/

Type: *

Name on the Account: *

Account Number: *
Verify Account Number: *

Routing Number: *

Bank Info: *
City: State:

Your membership in the Florida Farm Bureau Federation and respective county Farm Bureau helps support and strengthen agriculture and rural communities in economic, educational and social endeavors.