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Membership Application

We welcome your interest in becoming a member of the Virginia Agribusiness Council.

To join now or request additional information, please submit this application. Memberships are subject to Board approval.

We look forward to your being a part of our "Unified Voice of Virginia Agribusiness."

Fields marked in bold are required.


Name

Farm/Company/Organization Name

Mailing Address

City, State, and ZIP

County

Phone Number

Fax Number

E-mail Address

Website Address

Recommended by (if applicable)

Member Classification
Producer of Agriculture/Forest Products
Supplier or Service Provider to Producers
Processor or Marketer of Agriculture/Forest Products
Other
Associate Individual (Employee/retiree or a member organization
Professional Individual (Not an employee/retiree of a member organization)

Primary Commodity Interests

Brief Description of Your Business

How did you learn about the Virginia Agribusiness Council?
A Council member
Association with another industry organization
Internet
Industry Publication
Communication from the Council
Other (specific below)

.

What would you like to do?
Join now (payment in the mail)
Join now (payment by credit card on-line)
Receive more information
Receive a call from the Council

 

 Virginia Agribusiness Council
 P. O. Box 718
701 East Franklin Street, Suite 503
Richmond, VA 23218
Phone: (804) 643-3555   Fax: (804) 643-3556  E-mail: va.agribusiness@att.net