The AFA Alliance

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AFA Alliance Membership Nomination Form

We are excited you have someone in mind for the AFA Alliance! Please complete the nomination form below. An AFA representative will contact your nominee and provide them with all of the benefits associated with membership, including the AFA AgriNetwork.

If you have any questions, please contact AFA at (816) 472-4232.

Information about Me:

	My First/Last Name:
	My Email:



Nominee(s) Information:

	Nominee's First/Last Name:
	Nominee's Email:
	Affiliation with Nominee:
	Additional Information:

	Nominee's First/Last Name:
	Nominee's Email:
	Affiliation with Nominee:
	Additional Information:

	Nominee's First/Last Name:
	Nominee's Email:
	Affiliation with Nominee:
	Additional Information:

	Nominee's First/Last Name:
	Nominee's Email:
	Affiliation with Nominee:
	Additional Information:

	Nominee's First/Last Name:
	Nominee's Email:
	Affiliation with Nominee:
	Additional Information:

Member Benefits

Membership Form

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