Step 1 of 5 20% I am...Please select your membership type below.*A Farmer / Part-Time FarmerAn Agri-BusinessA Friend Of Agriculture/Non FarmerA MDFB EmployeeA StudentMust be 23 years or younger for student membership. Date of Birth requiredAre you an insurance agent, or are you working with an insurance agent?*YesNoInsurance InformationGet ready to save! Please enter your insurance agent's information here.Agent Name*Agent Number*Agent Email Agent Phone Number Contact InfoMembership Number* First Name Middle Last Name Birthdate* Date Format: MM slash DD slash YYYY Spouse's First NameSpouse's Last NameSpouse's Birthdate Date Format: MM slash DD slash YYYY Email County*- Select -AlleganyAnne ArundelBaltimoreCalvertCarolineCarrollCecilCharlesDorchesterFrederickGarrettHarfordHowardKentMontgomeryPrince George'sQueen Anne'sSaint Mary'sSomersetStudentTalbotWashingtonWicomicoWorcesterHome Phone*Work PhoneCell PhoneAddress* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Township(s) you are located in Farm InfoFarm NameSize of Farm Operation- Select -SmallMid-SizeLargeCommodities Produced Dairy Fruit Grains Hay Horses Livestock Poultry Vegetables Other Political PartyDemocratRepublicanIndependentSigned Up byReferred byComments or Requests Subscription Auto Renewal*By checking this box, I authorize Maryland Farm Bureau to annually charge my credit or debit card at the then-current annual membership dues rate. To discontinue auto-renewal billing, I understand that I must notify Maryland Farm Bureau by one of the below contact methods, at least one week prior to the auto-renewal billing date. The exact auto-renewal date will be provided in an annual reminder email. I understand refunds will not be issued after a payment has processed.YesNo Renewal Anne Arundel Price: $55.00 Renewal Baltimore Price: $60.00 Renewal Caroline Price: $60.00 Renewal Garrett Price: $60.00 Renewal Harford Price: $60.00 Renewal Montgomery Price: $65.00 Renewal Somerset Price: $65.00 Renewal Wicomico Price: $65.00 Renewal Worcester Price: $65.00 Renewal Allegany Price: $70.00 Renewal Carrol Price: $70.00 Renewal Cecil Price: $70.00 Renewal Charles Price: $70.00 Renewal Dorchester Price: $70.00 Renewal Frederick Price: $70.00 Renewal Kent Price: $70.00 Renewal Prince George's Price: $70.00 Renewal Queen Anne's Price: $70.00 Renewal Saint Mary's Price: $70.00 Renewal Washington Price: $70.00 Renewal Calvert Price: $75.00 Renewal Talbot Price: $75.00 Renewal Howard Price: $80.00 Renewal Student Price: $21.00 Your annual membership is only: $0.00 Payment Method*Credit CardeCheckCredit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name eCheck Name on Account Bank Name Routing Number Account Number CheckingSavingsAccount Type Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code This iframe contains the logic required to handle Ajax powered Gravity Forms. Maryland Farm Bureau will not issue refunds. Privacy Policy | Terms & Conditions
