Illinois Farm Bureau Membership Application

Illinois Farm Bureau^® Membership Application

Our Mission:
"To improve the economic well-being of agriculture and enrich the quality of farm family life"

Please complete this form. The information will be sent to the County Farm Bureau^® office in your county of residence. The office will contact you about your membership and the annual dues for that county

* indicates required field

Your Name*:

Spouse's Name:

Address*:

Address 2:

City*:

State*:

Zip*:

County* :

E-Mail*:

Phone* :

Are You:

A Farm Operator?*

Yes No

A Farm Land Owner?*

Yes No

A Non-Farmer?*

Yes No