AAIF Membership Form

Association of American Indian Farmers

Membership Form
Name

First NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Are you Native American?
Tribal Affiliation
Did you participate in the Keepseagle Settlement?
If you "DID NOT Participate" in the Keepseagle Settlement, do you think you were eligible?
This Membership Form may be printed, completed and returned to:

Association of American Indian Farmers

68 Wind Road, Baskerville, Virginia 23915

We may be contacted via email: AmericanIndianFarmers@gmail.com
Should be Empty:

Association of American Indian Farmers