Pennsylvania Farm Bureau
Pennsylvania Farming
Secure On-Line
Payments


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Mail Payment

If you choose not to pay your dues over the Internet, you may print out and mail the application below with a check or money order made payable to Pennsylvania Farm Bureau.

Printable application

 

 

Membership Application Form

  • After completing the form below, you may use VISA, MasterCard, American Express, or Discover to pay for your membership dues.

  • In order to keep your sensitive financial information safe, after completion of this form you will be directed to Paypal's secure site to pay for your membership.

  • Your credit card information will be processed by Paypal's secure site, but not stored by them, and the funds will then be forwarded on to PA Farm Bureau. It is a once and done secure transaction.

  • You may also use a Paypal account, if you have one or care to open one.

IT IS NOT NECESSARY TO HAVE A
PAYPAL ACCOUNT TO PAY THE MEMBERSHIP FEE
WHEN USING THIS E-FORM


*Must be filled in.

Applicant Information
First Name*
Middle Name
Last Name*
Profession*  
Type of Membership
Birthdate
Spouses Name
Farm Name
Address*
City*  
State*
Zip*
County*
Township
Home Phone No.* Area Code
Work Phone No. Area Code
FAX No.
Cell No. Area Code
 
Email
Commodity Interest
*Hold down shift key to select multiples
   
Size of Farm
Operation:
   
Political Party:
 
Reason for joining PFB:

*Nationwide Agents: Please fill out information below. . .

Agent Name
Agent #
Agent E-mail
Agent Phone #


 






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Links of Interest
   American Farm Bureau
   PFB Members Websites
   Related Ag Links
   FB Country
   PA Dept of Ag

 

© 2008 Pennsylvania Farm Bureau · General Office: 510 South 31st Street, P.O. Box 8736 Camp Hill, PA 17001-8736 · 717.761.2740