AAIF Membership Form

Association of American Indian Farmers

Membership Form
Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Are you Native American?*

YesNo
Tribal Affiliation*
Did you participate in the Keepseagle Settlement?*

YesNo
If you "DID NOT Participate" in the Keepseagle Settlement, do you think you were eligible?*

YesNo
This Membership Form may be printed, completed and returned to:

Association of American Indian Farmers

68 Wind Road, Baskerville, Virginia 23915

We may be contacted via email: AmericanIndianFarmers@gmail.com
Should be Empty:

Association of American Indian Farmers