Name: _____________________________________ Farm Name/Company: _______________________________________ Address: ___________________________________ City: ________________________ State: ______Zip: ________________ Phone: ______________________________________________Email: ____________________________________________ BOOTH AND ADVERTISING OPPORTUNITIES: Premier Booth $800 Includes: Premier Booth of your choice, 1 Full Registration included Standard Booth $500 Includes: Standard Booth of your choice, 1 Full Registration included Electricity for booths $85 Optional add-on for those needing electricity for their booths (10x10 area, 8ft back drop and (2) 3ft side arms draped, with 8ft skirted table, 2 chairs, waste basket) CONFERENCE REGISTRATION: Are you a NADeFA member? REGISTRATION DATE FOR: r Yes (Check all that apply) r No UNTIL FEBRUARY 28, 2015 MEMBERNON-MEMBER AFTER FEBRUARY 28, 2015 MEMBERNON-MEMBER TOTAL $ Full Conference r $250 r $300 r $350 r $400 __________ r $300 r $250 r $400 __________ Spouse r $150 Children 6 and under r Free Children 7-18 r $100 One-day pass r $150 – FREE r $200 –__________ What day are you planning on attending? _______________ Friday Dinner: How many in your party would like: r Fish _________ __________ r Beef _________ Full Color / Proceedings Ad (DEADLINE: February 6, 2015) r $295 1/2 page r $475 Full page __________ SCI Scoring Seminar: March 18, 2015 r $150 __________ New Deer Farmers Seminar: March 18, 2015 r $50 Single __________ r $75 Couple TOTAL CONFERENCE REGISTRATION EXPENSES: (see reverse side for payment options) __________ REGISTRATION NAME BADGES FOR ABOVE REGISTRATIONS: PLEASE PRINT _______________________________________________________________________________ (first and last name, company/farm name) _______________________________________________________________________________ (first and last name, company/farm name) _______________________________________________________________________________ (first and last name, company/farm name) _______________________________________________________________________________ (first and last name, company/farm name) _______________________________________________________________________________ (first and last name, company/farm name) NADeFA 4501 Hills & Dales Rd NW, Suite C Canton, OH 44708 Phone: 330-454-3944 Fax: 330-454-3950 Email: [email protected] NADeFA 4501 Hills & Dales Rd NW, Suite C Canton, OH 44708 [email protected] Phone: 330.454.3944 Fax: 330-454-3950 Email: [email protected] New Deer Farmers Seminar: Wednesday March 18, 2015 - (Limited to 50 participants) Name: ___________________________________________ Spouse: __________________________________________ Please list additional attendees: _________________________________________________ ________________________________________________ Farm Name / Company: ________________________________________________________________________________ Address: _____________________________________________________________________________________________ City, State, Zip: ________________________________________________________________________________________ Phone: __________________________________________ Email: ___________________________________________ SCI Scoring Seminar REGISTER NOW (check box on front of form and include payment below) $150 per person – Includes: Official Measuring Kit, Official Measuring Test and 1 year membership to SCI March 18, 2015 French Lick, IN Noon - 5pm Visual Presentation & Instructions and REGISTER NOW to become an official SCI Measurer Hands On Training with SCI Official Measuring Instructors -Participants are welcome to bring in complex sheds for measuring PAYMENT: r Check/Money Order: Make Check or money order payable to NADeFA® and send along with form to: North American Deer Farmers Association – 4501 Hills & Dales Rd NW, Suite C • Canton, OH 44708 Check #: __________________ r Credit Card: r Visa Card #: __________________________________________________ Exp Date: _____________ Name on Card: _________________________________ CVV Code: (3 Digit code on back of card) _______ Card Holders Signature: ___________________________________________________________ r MasterCard r Discover
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