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
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 )