Program Enrollment

Farm Bureau Membership Info

Not a Farm Bureau Member? Join as an Agricultural Member here.

Member First Name

Member Last Name

Member #

County Farm Bureau

Member Phone

Member Email

Agricultural Operation Information

Name of Farm or Individual

Principal Farm Owner

Property Owner (if different)

Mailing Address

City

Zip

Phone

Farm Location (town/city)

Grove Manager Name

Grove Manager Email

Crops Produced:

Payment Details

*Farm Bureau members who did not enroll under the previous program are advised that the enrollment fees are:
1: $325 - 2: $650 - 3: $975 - 4: $1300 - 5: $1600 - >5-10: $1700 - >10-25: $1800 - >25: $1900
plus an enrollment fee imposed by the State Water Board.

**Did you receive a Directive Letter to obtain regulatory coverage from the San Diego Water Board?
(not a letter from your local water district)

Irrigated Acres

Acre Fee*

State Fee**

Total Fee

Billing Street Address

City

Zip

Payment Method: Credit Card ACH (Online Check)

Credit Card

First Name on Card

Last Name on Card

Card Type

Card Number (No Spaces / Dashes)

Month

Year

CVV

For more information non-enrolled members can contact the Farm Bureau office at (760) 745-3023.

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