2019 Annual Meeting Registration Form
The VA Holstein Association Annual Meeting will be held on December 14th at 10:00 am at the Dayton United Methodist Church in Dayton, VA. Registration forms are due by December 4, 2019.
Email address *
Name *
Your answer
Farm or Business
Your answer
Phone *
Your answer
Your answer
Luncheon Adult Tickets ($20.00)
Over age 21 - # of Tickets
Your answer
Luncheon Youth Tickets ($10.00)
Ages 9-21 - # of Tickets
Your answer
Luncheon Kids Tickets ($5.00)
Ages 8 and under - # of Tickets
Your answer
Other Information
List Names of those attending
List the names that you would like to appear on the name tag
Your answer
Additional Comments of Questions
Your answer
Payment Choice *
To pay by credit card has been added. The link to pay by credit card is on the next screen after you hit "Submit". Please note, a 3% processing fee is added for credit card transactions.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy