Farm Name

Attendee First and Last Name(s)







Mailing Address

City/State/Zip


Home Phone

Cell Phone


Email


Local JV/Dealer Affiliation


Day Attending
Tuesday     Wednesday      Both days without overnight stay

Payment Options
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?