RURAL PARTNERS

Membership Application

Fill out the Membership Application below. All fields are required unless marked otherwise.

 


In the box above, enter the Membership Type you would like to receive: Corporate Member – $1,000, Regional Organization – $500, Local Organization – $200, or Individual Member – $50


In the box above, enter your choice from the following Service Types: Agriculture, Communication, Community Development, Development, Economic Development, Education, Employment, Finance, Government, Health, Housing, Landlord, Legal, Marketing, Municipality, Other, Politician, Seniors, Transportation, Utilities, Veterans, or Youth.

Member Information:

Business Information:


(xxx-xxx-xxxx)


(xxx-xxx-xxxx)