Napa County Farm Bureau

Application for Membership

Name:___________________________

Title:______________________________

Address:___________________________________________

City:_____________________

State:______    Zip:______________

Home Phone:_______________e-mail:__________________



Business Name:_____________________________________

Address:___________________________________________

City:_____________________

State:______    Zip:______________

Business Phone:______________

Membership Dues (please check one)

• Voting Member, $100 annually - One who expects to receive income from actual farming operations during the membership year.
• Sustaining Member, $50 annually - One who does not qualify as a Voting Member, and who is interested in the preservation of agriculture.
• Business Support Member, $250 annually - entitled to free business card size ad in each issue of the Napa Valley Advocate, a Farm Bureau window sticker, and two complimentary tickets to the Annual Dinner - all in addition to regular benefits. (Business Support Members who derive income from ag operations will hold voting status.)