Step 1 of 5 20% I am...Please select your membership type below.* FULL-TIME FARMER (Farming is Primary Source of Income or Activity) - $125 PART-TIME FARMER (Farming is a Secondary Occupation) - $75 YOUNG AG PROFESSIONAL (Young agriculturalists no longer in 4-H/FFA) $35 FRIEND OF FARMER (Non-Farmer supporting Agriculture) - $35 4-H & FFA MEMBERS (currently enrolled students) - FREE Are you an insurance agent, or are you working with an insurance agent?* Yes No Insurance InformationGet ready to save! Please enter your insurance agent's information here.Agents- Select an Agent -John HowardEarl AdamsRebecca VickersMilan AdamsAshley JohnsonAgent Is UnknownKevin SullivanDean N RousselKimberly PerrySheila McCarthyJames LymanMichele RosaOtherHiddenAgent ID Agent Name* Agent Number*Agent Email* Agent Phone Number* Contact InfoMembership Number** First Name Middle Name Last Name Birthdate MM slash DD slash YYYY Spouse's First Name Spouse's Last Name Spouse's Birthdate MM slash DD slash YYYY Email* Home Phone*Work PhoneCell PhoneAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code County*- Select -BristolKentNewportProvidenceWashingtonNot In RITown/Township(s) you are located in Farm InfoFarm Name Size of Farm Operation- Select -SmallMid-SizeLargeCommodities ProducedNo Commodities ProducedApiary - Bee KeeperApiary - HoneyApples - CiderAquaculture/Fish FarmingArboristBeef - GeneralBerries - CranberriesChristmas TreesCompostingCorn - GeneralDairy - GeneralExotic AnimalsFarm StandsFloricultureForestry - WoodlotFruits And Nuts - Small FruitsGoatsGreenhousesHay - GeneralHay - HayridesHerbs - GeneralHogs/SwineHorses (Five Or Fewer)Horses (More Than Five)Hydroponics - GeneralLandscaperLivestock - GeneralLoggingMaple SyrupNursery StockOrchards - GeneralPoultry - EggsPoultry - GeneralPoultry - TurkeysRabbitsRatitesSheep - GeneralSupplierTurfVegetables - GeneralVegetables - Snap BeansVineyardOther/Unknown HiddenPolitical Party Democrat Republican Independent Prefer Not To Answer Signed Up by (Member Number) Referred by Comments or Requests Subscription Auto Renewal*By checking this box, I authorize Rhode Island Farm Bureau to annually charge my credit or debit card at the then-current annual membership dues rate. To discontinue auto-renewal billing, I understand that I must notify Rhode Island Farm Bureau by one of the below contact methods, at least one week prior to the auto-renewal billing date. The exact auto-renewal date will be provided in an annual reminder email. I understand refunds will not be issued after a payment has processed. Yes No Full-Time Farmer Member 125 Price: Part-Time Farmer Member 75 Price: Friend of Farmer Member 35 Price: Young Ag Professionals Member 35 Price: Free Price: Your annual membership is only: $0.00 Payment Method* Credit Card eCheck Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name eCheck Name on Account Bank Name Routing Number Account Number Account TypeCheckingSavingsAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code CAPTCHA
