AK State Farmers Market Organizers Conference - REGISTRATION & TRAVEL SCHOLARSHIP FORM

Hello Market Managers and Organizers!

Thank you for completing this Registration and Travel Scholarship Form

Please note: Deadline to apply for Travel Scholarships is Friday December 2, 2016
Review expectations of Scholarship Recipients: http://www.homerfarmersmarket.org/travel-scholarship.html

Market Name *

Contact/Manager Name *

Best Email Address Contact *

Best Phone Contact *

How long has your Market been in Operation? *

0-5 years

5-9 years

10-14 years

15+ years

How many people will attend the conference? *

There will be a small conference fee of $50 for all participants to help pay for meals (our grant does not allow the purchase of food for the conference). Do you agree to this? *

Yes

Are you applying for a Travel Scholarship (full or partial available) *

Yes

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