Membership – Application



Name*
Address*
City
Province
Postal code
Phone*
Fax
Email*
Agricultural or forestry producer? (Price: $68.99, Taxes included.)
Rural resident or retired farmer? (Price: $68.99, Taxes included.)
Previous member? Yes    No
Type de production
 
GST No. 107 867 814 RT 001 – QST No. 100 611 322 9 TQ 001
Please enclose cheque payable to Quebec Farmers’ Association. Do NOT send cash in the mail. Receipts are issued upon request.
Quebec Farmers’ Association (QFA)
555 Boul. Roland-Therrien,
Office 255,
Longueuil, QC
J4H 4E7
 
  *Fields with an asterisk assigned mandatory.


Choose one or two-year membership