Fill out this form and submit to The New York State Agricultural Society. 

Please make your check payable to:

NYS Agricultural Society.
493 Charlton Road
Ballston Spa, NY 12020

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
web site
Choose one of the following membership options:

One Year Individual ( $20 per year )
Life Member Individual ( $200 )
Contributing ( $150 per Year )
Contributing ( $250 per Year )
Contributing ( $500 per Year )
Contributing ( $1000 per Year )

Select any of the following options:
Production Ag
Food Industry
Agribusiness
Education
Government
Friend
Farm Commodities of interest:

 

 

   copyright 2006 SquiggSite by Squiggout