PDPW Event Registration: Cornerstone Dairy Academy - Attendee Confirmation

Note: Fill in the registration form below, carefully review your entries, and then click the "Register Now" button to submit your event registration. Click here to view our terms and conditions.

Fields with (*) are required.

*Name(s) of Attendees :
Full Name : (if different than above)
*Farm or Business Name :
*Address :
*City :
*State :
*Zip :
*Phone :
*Email Address :
2-Day Member Registration (REQUIRED SELECTION: Cornerstone Dairy Academy: Mar 13-14 ($150))
Number Attending:
1-Day Member Registration (UPGRADE OPTION: 2018 PDPW Business Conference: Mar 15 ($200, add-on)) DO NOT SELECT IF YOU DO NOT WANT TO ATTEND BUSINESS CONFERENCE ON THURSDAY FOR AN ADDITIONAL FEE)
Number Attending:
What Date:
2018 PDPW Business Conference, Mar. 15, 2018
Do you need a hotel room on Tuesday, March 13th? Indicate: Yes or No in space below. *Room share lodging.

Do you need a hotel room on Wednesday, March 14th? Indicate: Yes or No in space below. *Room share lodging.

Male or Female? (This information is needed for room assignments)

Is there someone attending you would like to room with? Include their name.

Are you paying by credit card or sending a check? Indicate CK or CC-If CC, payment will be taken on next step.

Registrant Comments : (250 characters maximum)
*Image Verification Code :
(enter code shown below)



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