Fill out this form, print out, and mail 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:

Individuals

One Year Individual ( $20 per year )
 Life Membership Individual ( $200 )

 

Businesses/Organizations

Bronze Level ( $250 per Year )
 Silver Level ( $500 per Year )
 Gold Level ( $1000 per Year )

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