2017 Small Farms and Acreage Conference Registration Form

November, 4, 2017 I 9 a.m. to 3 p.m., registration opens at 8:30 a.m.

Early registration: $25 by October 27, 2017
Late registration: (based on availability) $35

Please send registration as cash or check to the Washington County Extension Office (address below).

Washington County Extension
2223 250th St.
Washington, IA 52353

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Please list any special dietary needs *
Your answer
During the conference we will be having three breakout sessions. Please select your first choice for a breakout session: *
Please select your second choice for a breakout session: *
Please select your third choice for a breakout session: *
Please select your fourth choice for a breakout session: *
I understand that I need to send my payment to the Washington County Extension Office. (see address above) *
The fees for service will be used to offset direct expenses and to support the Agriculture and Natural Resources Washington County Extension Program. Iowa State University Extension and Outreach does not discriminate on the basis of age, disability, ethnicity, gender identity, genetic information, marital status, national origin, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, or status as a U.S. veteran. Direct inquiries to Ross Wilburn, 515-294-1482, wilburn@iastate.edu
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