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 - $500


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)