21st Annual NODPA Field Days Registration

Name*

Address*

(8000 character limit. Characters so far: 0 Word Count: 0)

Phone*

email address*

Are you an organic or transitioning producer?

Yes $0 No $35

Meals

Thursday Lunch

One $10 Two $20 Three $30 Four $40

Thursday Lunch (Child under 11)

One $5 Two $10 Three $15 Four $20

Thursday Dinner (Child under 11)

One $12.50 Two $25 Three $37.50 Four $50

Friday Breakfast

One $5 Two $10 Three $15 Four $20

Friday Lunch

One $10 Two $20 Three $30 Four $40

NODPA NEWS SUBSCRIPTION

6 Issues $50

Tax Free Donation

Please keep $ in form field