Farm Name

Attendee First and Last Name(s)







Mailing Address

City/State/Zip


Home Phone

Cell Phone


Email


Local JV/Dealer Affiliation


Number of Rooms
One    Two     Three

Smoking Preference
Non-smoking    Smoking

Room Type
King    Double Queen     Handicapped Accessible

Payment Options (Payment is required to guarantee room reservations)
Bill to FAF Account    Bill to JV Account     Credit Card*    Check*    

*Payment notes:
1.  If Credit Card option is selected, please include contact name and phone number in the comments section below.  We will contact you to obtain the credit card information.
2.  If you'd like to pay by check, please complete the form here, then send a copy of registration and check to:
          Form-A-Feed, Inc.
          Attn: Al S.
          P.O. Box 9
          Stewart, MN  55385

Comments or Questions?