Maryland Organic Food and Farming Association Winter Meeting 2017 Registration Form
Last Name of Member/Attendee 1
First Name of Member/Attendee 1
Last Name of Member/Attendee 2
First Name of Member/Attendee 2
Farm Name
Address1
Address 2
City
State
Zip Code
Phone
Alternate Phone
Cell Phone
Email 1
Email 2
Web Site
Would you prefer an e-newsletter or print?
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Are you interested in Volunteering?
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Would you like to be listed as a member on the MOFFA web site?
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Payment:
Annual MOFFA Dues (per farm or family)
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Payment:
Meeting Fee
1
2
3
4
Quantity
Member Meeting Fee (per person) $5
Non-Member Meeting Fee (per person) $20
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Total
Please enter the total amount due. After Completing and submitting the form, please return to http://marylandorganic.org/join/ to make your secure payment to MOFFA
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