Become a Member – Quebec Farmers' Association

Membership
How would you like to pay for your membership?*
- Pay Online
- Pay by Cheque
Profile
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Fax
Email*
Which best describes you?*
- Agricultural or forestry producer
- Rural resident or retired farmer?
What type of production do you do?
Have you ever been a member of the QFA in the past?*
GST No. 107 867 814 RT 001 – QST No. 100 611 322 9 TQ 001
Total
$ 0.00 CAD
Payment
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
Payment
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Profile