Producer Membership

Thank you for supporting your industry and your future.

Please fill out the form below to join or renew your membership online. If you prefer, you can instead download a membership form, fill it out and return it by mail along with payment by check.

Download Membership Form

Mail Membership Dues Check To:

AFAN
5225 S. 16th Street
Lincoln, NE 68512

For Information Contact:

Kris Bousquet
402-525-3199
krisbousquet@nebraskamilk.org

Producer Membership Application Form

Contact Information

Name

Farm Name

Mailing Address

Farm County

City

State

Zip

Phone

Membership Information

Membership Level
$50 – less than 100 cows$100 – 100 to 250 cows$250 – 250 to 500 cows$500 – 500 to 1000 cows50 cents per cow – Over 1000 cows$100 – Heifer Growers$250 – 1 STAR Allied Membership

Number of Cows
X $0.50 per cow

Membership Total
$

Membership is subject to board approval. While membership dues to the Nebraska State Dairy Association are not tax deductible as charitable contributions for federal income tax purposes, a portion may be tax deductible as ordinary and necessary business expenses. However, the portion of membership dues that represents nondeductible lobbying activities of the Nebraska State Dairy Association is not tax deductible. The nondeductible portion of your dues is 75%.

Credit or Debit Card Details

Name on Card

Billing Address

City

State

Zip Code

Card Number, Expiration, CVC

Nebraska State Dairy Association

Producer Membership

Thank you for supporting your industry and your future.

Producer Membership

Mail Membership Dues Check To:

For Information Contact:

Producer Membership Application Form

Contact Information

Membership Information

Credit or Debit Card Details

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