Form

The MAiZE 12th Annual Site Owner Conference Registration Form
Farm Information
Farm Name*
What year did you join the maize?*
Phone Number*
- Area Code Phone Number
Farm City*
Farm State/Providence*
IMPORTANT: You MUST be a member of The MAiZE family or receive permission to attend this conference. If you are NOT a MAiZE member and would like permission to attend, email brett@themaize.com
Each Attendee that registers will be asked to answer the following question:

Would you be interested in doing Option A or B on the Saturday Bus Tour?

* Option A - Breakfast round tables @ 8:00am, Heidrick Ag History Center (one of the world's largest tractor & truck museums), Bishop's Pumpkin Farm, Old Sacramento

* Option B - Leave @ 5:30 AM for Hawes Farms (About 5 hr round trip), Bishop's Pumpkin Farm, Old Sacramento.
List the names of registered attendees below:
$225 Includes: Sessions, Fri/Sat Lunch, Fri Dinner, Binder, Saturday Bus Tour
Attendee 1*
First Name Last Name
E-mail (A1)*
Choose one (A1)*

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
Attendee 2
First Name Last Name
E-mail (A2)
Choose one (A2)

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
Attendee 3
First Name Last Name
E-mail (A3)
Choose one (A3)

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
Attendee 4
First Name Last Name
E-mail (A4)
Choose one (A4)

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
Attendee 5
First Name Last Name
E-mail (A5)
Choose one (A5)

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
Attendee 6
First Name Last Name
E-mail (A6)
Choose one (A6)

Option A (Round Tables & Ag Center) Option B (Hawe's Farms)
List the names of guests not attending sessions:

$150 Includes: Fri/Sat Lunch, Fri Dinner, Saturday Bus Tour

** Children under 3 are Free, but need to share meals and sit on laps during Bus Tours
Guest 1
First Name Last Name
Relationship
Guest 2
First Name Last Name
Relationship
Guest 3
First Name Last Name
Relationship
Guest 4
First Name Last Name
Relationship
Guest 5
First Name Last Name
Relationship
Guest 6
First Name Last Name
Relationship
Does anyone require vegetarian meals?*

No Yes
How many people?*
Important : You must check the box of the item you would like to purchase. Then select the quantity. Even if the item is FREE, you must check the box.
Order Information*
Attendee Registration $225.00 USD

Quantity
Guest Registration $150.00 USD

Quantity
FREE Advisory Board Conference Registration (must be a board member) Free

Quantity
Pre-Conference Bus Tour $140.00 USD

Quantity
Pre-Conference Tour (Drive Yourself) $80.00 USD

Quantity

Total: $0.00 USD
Check Number*
Please send check to:

The MAiZE

ATTN: Conference Registration

PO Box 367

Spanish Fork, UT 84660

Send Confirmation email to:*

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