Agricultural Council

Membership Application

REGISTRATION FORM
Please fill out information, print out sheet, and send to the Ag Council!
(or download PDF format of the Registration Form)

Name of Organization:
Primary Contact Person:

Name:
Title:
Address:

Phone:
Fax:
Current president and mailing address:

Delegate to the Council who will represent your organization:

Name:

Title:
Address:

Phone:
Fax:
Brief statement about your organization's purpose:

Current Membership:

Number of companies:
Number of individuals:
Others:

How to Print: Please Set Page Setup to "Landscape" Orientation before printing.

Please complete the application and submit with your dues check for $50, payable to "Penn State Agricultural Council."

Mail the application and check to:

Executive Director
Penn State Agricultural Council
The Pennsylvania State University
229 Ag Administration Building
University Park, PA 16802
Phone: 814-863-2822
Fax: 814-863-6152
E-mail: AgCouncil@psu.edu
Web address: http://agcouncil.cas.psu.edu/

Applications are reviewed by the Council's Executive Committee. If approved, delegates are then added to the mailing list and invited to attend the next meeting.

Dues are $50 annually, payable on January 1 of each year.

Council delegate meetings are usually held on the Thursday of the third week in April and October.