By checking this box, I authorize Delaware Farm Bureau to annually charge my
credit or debit card or debit card at the then-current annual membership dues rate.

To discontinue auto-renewal billing, I understand that I must notify Delaware Farm Bureau
Bureau by one of the below contact methods, at least one week prior to the auto-renewal billing date.
The exact auto-renewal date will be provided in an annual reminder email.
I understand refunds will not be issued after a payment has been processed.

Contact Methods:

• Phone: (302) 697-3183
• Email: jaiden.cain@defb.org
• Mail: Delaware Farm Bureau, 3457 S Dupont Hwy, Camden, DE 19934