Member Form

Use the form below to become a Bosque County Farm Bureau member.  Fill in the necessary information on the form below, print out, and mail the completed form and $35.00 to:

Bosque County Farm Bureau
P.O. Box 287
Clifton, Texas 76634

Name  
Street/Rt./Box  
City  
Zip+4  -
Telephone ()--
Date of Birth   //
Sex Male  Female
Social Security Number  --
E-Mail  

 


~MEMBERS MAY RECEIVE ONLY ONE PUBLICATION~


"I want to receive the rural lifestyle and organization news publication Texas Neighbors."

"I want to receive the production agriculture publication Texas Agriculture."

 

What type of commodities are you interested in?  (Check no more than four) 

           Beef Cattle Bees/Honey    Broilers/Turkeys Citrus            Cotton

           Dairy          Eggs                  Feed Grains           Fish, etc.        Forage
 

           Forestry     Fruits/Berries  Horses  Nursery & Greenhouse Oilseeds

           Peanuts      Pecans               Rice                        Sheep/Goats Soybeans

           Sugar          Swine                 Vegetables            Wheat             Wildlife

 

NOTE:  Membership dues are not refundable.  Dues are not deductible as a charitable contribution and are limited as business expense for federal income tax purposes.  

    "I want to become a member of this County Farm Bureau, Texas Farm Bureau, and the American Farm Bureau Federation because I am interested in promoting the welfare and benefit of agriculture and the rural way of life."


 Signature:  ___________________________

Solicitor:_____________________________

Date:________________________________