Name: County:
Farm: Phone:
Address: Email:
City, State, & Zip: # Cattle owned/managed:

MEMBERSHIP TYPE

NYBPA Membership - Includes one-year subscription to New York Beef Producer: $30.00
NY CattleWomen - Name___________________________________: N/C
NY Junior BPA Dues - $10.00 each (Maximum $25/family)
Junior Name: Birth Date:
Junior Name: Birth Date:
Junior Name: Birth Date:
NCBA National Cattlemen's Beef Association Membership Dues (per the schedule below)

0-50 Head…………………………$50.00
51-100 Head………………………$80.00
101-250 Head…………………….$120.00
251-500 Head…………………….$200.00

VOLUNTARY PROGRAM CONTRIBUTIONS

NYBPA relies solely on our membership dues, donations, and proceeds from our food booth at the Empire Farm Days for financial support. In our continuing effort to become a stronger, more productive organization that is better able to serve the needs of our membership, please consider making a direct contribution to one of our active programs. You may designate below which programs you would like to support with the contribution amount.

Scholarship Fund__________ Youth Programs__________ Other (specify)____________

COMMITTEE INTEREST

Please check the committees you would like to serve on:
_____Promotion _____Expo _____Education _____Fundraising _____Youth Programs

Are you interested in serving as a County Director?_______

TOTAL AMOUNT ENCLOSED $_________My check is enclosed - or -
M/C or VISA Acct. #___________-___________-___________-___________exp. date_________

Mail to: Megan Galloway, 4950 St Hwy 51, West Burlington, NY 13482