West Virginia Farm Bureau Membership

1/7Please Enter Membership Name

Member's Information

First Name *

Middle Initial (opt)

Last Name *

Date of Birth (opt)

Spouse's Information (optional)

First Name (opt)

Middle Initial (opt)

Last Name (opt)

Date of Birth (opt)

2/7Please Enter Your Contact Information

Mailing Address *

City *

State *

Zip Code *

Telephone Number *

Email (opt)

3/7Select One Membership Type *

Non-Farmer Member

Farmer Member

Select County for new membership or renewal *

Youth Memberships

Youth memberships are available to high school students age 14-18. Youth memberships are $20 regardless of the county you live in.

To join with a Youth Membership, select Farmer Member and select Youth Membership from the dropdown above.

4/7Select One Membership Preference *

This is the first time I have joined Farm Bureau.

I am renewing my membership or rejoining Farm Bureau.

If Renewing or Rejoining, please answer two questions:

I am/was a member in (which County):

My membership number is/was:

5/7If you are a Farmer, what type(s) of agricultural product(s) are produced in your operation: (optional)

Beef

Dairy

Poultry

Tobacco

Sheep

Fruits & Berries

Equine

Other Products:

6/7Entering the following information helps WVFB better understand its membership.

Children Living in Your Household (optional)

Example entry for two children: Jack is male and is 5 years old. Jane is female and is 10 years old.

From whom or where did you hear about Farm Bureau? *

Example entries might include the name of a Farm Bureau member, friend, or relative, online search, in the news, WV Farm Bureau News magazine, etc.

7/7Finalize Membership Options

Membership Dues Total

Voluntary contribution to Farm PAC? (suggested):

$10

Other

I understand that I am applying for membership into the county Farm Bureau I selected and that once accepted, which occurs at the time a membership number is assigned to me, my membership is valid for twelve months and that my payment for dues is non-refundable. I understand that Farm Bureau membership benefits are subject to change without notice.

Membership Summary

Member First Name:
Member Middle Name:
Member Last Name:
Member Date of Birth:

Spouse First Name:
Spouse Middle Name:
Spouse Last Name:
Spouse Date of Birth:

Street Address:
City:
State:
Zip Code:
Telephone:
Email:

I am joining as:
Joining county farm bureau:

Membership Preference:
My membership number is/was:
I am/was a member in (county):

Children:
Learned about WVFB from:

Membership Dues:
PAC Contribution:
If everything looks good, click Purchase Membership to enter your payment preference.

Membership Application

1/7Please Enter Membership Name

2/7Please Enter Your Contact Information

3/7Select One Membership Type *

Youth Memberships

4/7Select One Membership Preference *

5/7If you are a Farmer, what type(s) of agricultural product(s) are produced in your operation: (optional)

6/7Entering the following information helps WVFB better understand its membership.

7/7Finalize Membership Options

Membership Summary

Member First Name:

Member Middle Name:

Member Last Name:

Member Date of Birth:

Spouse First Name:

Spouse Middle Name:

Spouse Last Name:

Spouse Date of Birth:

Street Address:

City:

State:

Zip Code:

Telephone:

Email:

I am joining as:

Joining county farm bureau:

Membership Preference:

My membership number is/was:

I am/was a member in (county):

Children:

Learned about WVFB from:

Membership Dues:

PAC Contribution:

If everything looks good, click Purchase Membership to enter your payment preference.