Northern Plains Forage Association Membership

Northern Plains Forage Association Membership
- Annual Membership Dues: $75 (voting membership- covers 1 person)-access to quarterly newsletter, and reduced or free admittance to events.
- Annual Associate Membership Dues: $500 (non-voting membership- covers 1 business)-free representation at events (2 reps), logo in newsletter and on website
Two payment windows have been established for dues moving forward:
- Dues paid from Jan. 1 to June 30, membership fees are due in full
- Dues paid between July 1 and Dec. 31, $40 or $250 will be due for regular or associate membership, respectively.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you renewing an existing membership from last year?*

YesNo
Are there any changes to your membership or operation that you would like to update? (changes such as membership type, livestock/crops raised, preferred method of communication)

YesNo
Would you like a regular membership or associate membership?*

Regular Membership - $75Associate Membership - $500
Would you like a receipt for payment?*

YesNo
What is your occupation (select all that apply)?

Farmer/Forage GrowerLivestock GrowerForage Industry RepOther Ag Business ProfessionalUniversity ExtensionGovernment AgencyOther
What forages are you most interested in/utilizing (select all that apply)?

AlfalfaCorn SilageCool Season PerennialsWarm Season PerennialsCover Crops/Annual Forage CropsOther
What types of programming would you like to see from NPFA (select all that apply)?

Field DaysInformational WorkshopsQuarterly NewsletterOnline learning and networking opportunitiesOther
What's the most effective way to communicate with you?

Snail MailEmailFacebookOther
Comments/Suggestions:
Membership comes with a free t-shirt, would you like one sent to you?*

YesNo
What size t-shirt do you wish to receive?

SmallMediumLargeXLXXLXXXLXXXXL

Pay by Credit Card*

Regular Membership

$75.00

Associate Membership

$500.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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