Northern Plains Sustainable Agriculture Society Upcoming Events

Step 1
Pre-Registration Form
Livestock Handling Seminar
with Dr. Tom Noffsinger
Monday, August 11, 2008
Farmers Union Headquarters
Jamestown, N.D.
9:30 a.m. to 5 p.m.
Registration deadline is July 31!

ON-LINE REGISTRATION FORM FOR UP TO SIX PERSONS

Step 1: Please fill out the following Registration information below for each person registering, so that we can register each correctly. This form will register up to six persons.
REGISTRANTS RESERVATION INFORMATION: (Be sure to include all required information!) Registrant No. 1 (Note: Person who is filling out this form goes here. Also note that spouse's and other family/group members names can be added further below, with no need to repeat the address part, if address is the same as for Registrant No. 1)
Your Name: Address: City, State, Zip-code:	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone:
Your Email Address: yourname@domain.com
Age Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
Registrant No. 2 Please Note: Full Name and age group is enough, if address and contact information is the same as for Registrant No. 1.	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone: E-mail:
Age Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
*Registrant No. 3*	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone: E-mail:
Age Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
*Registrant No. 4*	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone: E-mail:
Age Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
*Registrant No. 5*	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone: E-mail:
Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
*Registrant No. 6*	Full Name: Business: Address: City-State-Zip: Home Phone: Cell Phone: E-mail:
Age Group	13 yrs. older Child 6-12 yrs. Child 5 yrs or under.
Area of interest, please check all that apply:	Vegetables/Fruits Livestock/Dairy Flowers/Herbs Row Crops/Forage Direct Marketing Sustainable Farmer Business Certified Organic Farmer Conventional Farmer Government/Organization Consumer Retail Student Educator
How did you hear about the conference?	Conference Brochure Newspaper Ad Friend TV/Radio Website Other
Please enter any comments, or special instructions here:
Please Check if you are a new member
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Step 1 Pre-Registration Form Livestock Handling Seminar with Dr. Tom Noffsinger Monday, August 11, 2008 Farmers Union Headquarters Jamestown, N.D. 9:30 a.m. to 5 p.m. Registration deadline is July 31!

REGISTRANTS RESERVATION INFORMATION: (Be sure to include all required information!)

Step 1
Pre-Registration Form
Livestock Handling Seminar
with Dr. Tom Noffsinger
Monday, August 11, 2008
Farmers Union Headquarters
Jamestown, N.D.
9:30 a.m. to 5 p.m.
Registration deadline is July 31!

REGISTRANTS RESERVATION INFORMATION:
(Be sure to include all required information!)