Renew or become a STUDENT Member of NDFB

NDFB has a student membership for young people under the age of 25. To renew or join and pay your membership electronically, please fill out the information below. NDFB student member dues are non-refundable.

Membership Number (if assigned/known)

First name^*

Last name^*

Date of Birth (mm/dd/yyyy)^*

Phone Number (no dashes)^*

Email Address^* (By providing your email you agree to receiving periodic information and announcements from NDFB)

Address^*

City^*

State^*

Zip Code^*

Type of Membership^*

Student

Since a portion of your dues will go to your county Farm Bureau, please list the county you would like to belong to:^*

Would you like to donate $2.00 to the NDFB Foundation?

(uncheck if no) Yes

Would you like to donate $5.00 to the PAC?

(uncheck if no) Yes

I consent to have my name and location published in an online student directory, available to other student members.

(uncheck if no) Yes

The purpose of the NDFB PAC and/or the North Dakota Farm Bureau PAC is to tirelessly advocate for and support North Dakota’s farmers, ranchers, and agriculture industry. While contributions are appreciated, they are entirely voluntary. Anyone may refuse to contribute at any time and failure to contribute to the NDFB PAC and/or the North Dakota Farm Bureau PAC will never result in retaliation of any manner.

Federal law prohibits soliciting contributions from any party or individual who is not a member of a restricted class of allowable donors. The restricted class of allowable donors includes non-corporate members, executive employees and administrative employees. Attempted contributions from a donor outside of the restricted class of allowable donors will not be accepted by the NDFB PAC and/or the North Dakota Farm Bureau PAC. The NDFB PAC and/or the North Dakota Farm Bureau PAC are Political Action Committees of NDFB. Contributions are voluntary and are not deductible for income tax purposes. Corporate contributions are prohibited by law and will therefore be deposited in the NDFB Foundation account.

I have read this PAC disclaimer and agree

Select Payment Option^*

Auto Renew

(Make a one-time payment using information provided and save my information for future auto-renewal withdrawals.)

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Donations

Would you like to donate $2.00 to the NDFB Foundation? No

Would you like to donate $5.00 to the PAC? No

Order Details

Description	Amount
New Student Membership -

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NDFB - NEW Student Member

Renew or become a STUDENT Member of NDFB

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