MFBF Washington, D.C. Fly-In Program Application

1

Read and follow the instructions carefully prior to submitting your application.

Read the MFBF Washington D.C. Fly-In Guidelines.

Applications are due on December 6, 2021 and winners will be notified by December 13. For questions, please contact Nicole via email or at 406-232-1559.

2

Read and Understand the D.C. Fly-In Guidelines.* This field is required.

Yes, I have

3

Full Name* This field is required.

First Name

Last Name

4

Phone No. :* This field is required.

Area Code

Phone Number

5

E-mail :* This field is required.

Where the confirmation will be send to

6

Home Address :* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

7

Are you a Current Voting Century Club Member?

Yes

No

8

Did you contribute to the Farm Bureau PAC?

Yes

No

9

Did you attend your 2021 county Farm Bureau Annual meeting, the 2021 MFBF Annual Meeting, or participate in the Policy Development Process? If so, how:

0/300

10

Did you testify or provide written testimony on any bills during the 2021 Legislative Session? Which bill(s)?

11

Did you respond to any of MFBF’s or AFBF's Action Alerts in 2021? Which issues?

12

Did you contact any local, state or federally elected officials with regard to agriculture issues? Did the official respond? If so, please explain:

13

In 500 words or less, explain why one or more Federal Level Priority Issues (View Topics Here) are important to your farm or ranch operation. How would you convince a U.S. Senator, Congressman or Agency official that this issue deserves his or her prompt attention?

14

Persuasive Statement on a Federal Level Priority Issue:

0/500

15

Did you attend a MFBF Calling on the Capitol and/or another MFBF Legislative event in 2021?

Yes

No

16

Did you participate in an interim committee, Board of Livestock, Fish and Game Commission or other relevant state meeting? If so, which one(s)? What was discussed?

17

Did you participate in a federal public meeting such as BLM, U.S. Fish & Wildlife Services, Forest Service, etc.? Which one(s) and what was discussed?

18

Did you attend the 2021 MFBF Summer Conference?

Yes

No

19

Did you visit a Montana Congressional office in Washington, D.C. and discuss a priority Farm Bureau issue?

Yes

No

20

If you visited with a Montana Congressional office in Washington, D.C. and discuss a priority Farm Bureau issue, which issue(s)?

21

Do you use social media to promote agriculture and discuss relevant agriculture issues? Please explain:

22

Have you ever hosted a Congressional staffer, local legislator, agency official, etc. on your farm and explained important agriculture issues? Please explain:

23

Do you write blog posts about agricultural issues, and/or comment on online/print newspapers stories? If so, please provide web links or attach documents: Enter Link Below or to attach a document proceed to the next page.

24

Upload your blog post file(s)about agricultural issues, and/or comment that you posted to an on-line/print newspapers story.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

25

Did you recruit voting or Century Club member in the 2021 membership year? If so, please list name(s):

26

Please share the details about any other advocacy or legislatively related activities you’ve participated in during the 2021 year: