Pre-registration Form

                    2013 Small Farm Workshop Series

                                                            March - April 2013

Complete the information and submit form to pre-register.

*Full Name: 

*Address: 

*City: 

*State:  (Select) Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

*Zip Code:  Phone: 

Email Address: 

 

I plan to attend the following sessions (check all sessions desired):

March 16 - "Solving the Social Media Puzzle: The Basic Building Blocks for Using Social Media to Effectively Grow Your Business"; Registration Fee: $20  

March 23 - "Growing and Marketing Blackberries, Raspberries and Blueberries; Registration Fee: $15

April 6 - "Free Range Poultry and Egg Production"; Registration Fee: $15

April 20 - "Be Smart . . . Drench Smart . . . Small Ruminant Integrated Parasite Management"; Registration Fee: $20

Total Due: 

 

Payment Options (check which applies):

Check:  (make checks payable to: University of Maryland Eastern Shore)

Credit Card:       Visa          MasterCard         Discover

Note: Call in Credit Card Information. 

 

NOTE:  The registration fees for the 2013 Small Farm Workshop Series provides lunch and all educational materials.  All registrations must be received one week prior to the date of the workshop, and registrants who need special services or accommodations or who have special dietary needs must call at least two weeks in advance to make arrangements.