2nd North American Farm Conference Registration

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This form will book your accomodation and participation in the Conference. Please complete and hit "submit" at the end of the form.

Investment: $151 (on-site, 3 nights accommodations) or $108 (on-site, 2 nights accommodations).

Event Timing: October 13- 15, 2017

Event Address: New Vrindaban Farm, 3759 McCrearys Ridge Rd. Moundsville, WV, 26041, USA

Contact number: 304-843-1600, ext 111.

Initiated Name (Legal if not initiated) *

Email *

Phone Number *

Farm Project or Affiliated Temple

Will you be traveling another guest? If so, please provide name. *

Does your health restrict you from rooming with another attendee(s) during the retreat?

What days will you attend? Guests are welcome to arrive evening of Oct. 12 and leave Oct. 15 (meals/accommodations covered in conference cost). *

Oct 12

Oct 13

Oct 14

Oct 15

Other

Required

I understand that my conference registration will be confirmed upon my completion of payment. *

Yes

Required

Submit

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