MFBF Washington, D.C. Fly-In Program Application

1

Read and follow the instructions carefully prior to submitting your application. (MFBF Washington D.C. Fly-In Guidelines). All winners will be notified on or before the May 10, 2019.

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2

Read and Understand the instructions.* This field is required

Yes, I have

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3

Full Name* This field is required

First Name

Last Name

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4

Phone No. :* This field is required

Area Code

Phone Number

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5

E-mail :* This field is required

Where the confirmation will be send to

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6

Home Address :* This field is required

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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7

Are you a Current Voting Century Club Member?

Yes

No

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8

Did you contribute to the Farm Bureau PAC?

Yes

No

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9

Did you attend your 2018 county Farm Bureau Annual meeting, the 2018 MFBF Annual Meeting, or participate in the Policy Development Process? If so, how:

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10

Did you testify or provide written testimony on any bills during the 2019 Legislative Session? Which bill(s)?

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11

Did you respond to any of MFBF’s Action Alerts in 2018 or 2019? Which issues?

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12

Did you contact any local, state or federally elected officials with regard to agriculture issues? Did the official respond? If so, please explain:

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13

In 500 words or less, explain why one or more Federal Level Priority Issues (View Topics Here) are important to your farm or ranch operation. How would you convince a U.S. Senator, Congressman or Agency official that this issue deserves his or her prompt attention?

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14

Persuasive Statement on a Federal Level Priority Issue:

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15

Did you attend a MFBF Calling on the Capitol and/or another MFBF Legislative event in 2019?

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No

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16

Did you participate in an interim committee, Board of Livestock, Fish and Game Commission or other relevant state meeting? If so, which one(s)? What was discussed?

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17

Did you participate in a federal public meeting such as BLM, U.S. Fish & Wildlife Services, Forest Service, etc.? Which one(s) and what was discussed?

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18

Did you attend the 2018 MFBF Summer Conference or plan to attend the 2019 Summer Conference?

Yes

No

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19

Did you visit a Montana Congressional office in Washington, D.C. and discuss a priority Farm Bureau issue?

Yes

No

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20

If you visited with a Montana Congressional office in Washington, D.C. and discuss a priority Farm Bureau issue, which issue(s)?

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21

Do you use social media to promote agriculture and discuss relevant agriculture issues? Please explain:

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22

Have you ever hosted a Congressional staffer, local legislator, agency official, etc. on your farm and explained important agriculture issues? Please explain:

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23

Do you write blog posts about agricultural issues, and/or comment on online/print newspapers stories? If so, please provide web links or attach documents: Enter Link Below or to attach a document proceed to the next page.

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24

Upload your blog post file(s)about agricultural issues, and/or comment that you posted to an on-line/print newspapers story.

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Max. file size: 10.6MB

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25

Did you recruit voting or Century Club member in 2018 or 2019? If so, please list name(s):

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26

Please share the details about any other advocacy or legislatively related activities you’ve participated in during the 2018 or 2019 year:

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